Plasmodial surface anion channel inhibitors for the treatment or prevention of malaria

ABSTRACT

The invention provides methods of treating or preventing malaria comprising administering to an animal an effective amount of a compound of formula (I): Q-Y—R 1 —R2 (I), wherein Q, Y, R 1 , and R 2  are as described herein. Methods of inhibiting a plasmodial surface anion channel of a parasite in an animal are also provided. The invention also provides pharmaceutical compositions comprising a compound represented by formula (I) in combination with any one or more compounds represented by formulas II, V, and VI. Use of the pharmaceutical compositions for treating or preventing malaria or for inhibiting a plasmodial surface anion channel in animals including humans are also provided. Also provided by the invention are clag3 amino acid sequences and related nucleic acids, vectors, host cells, populations of cells, antibodies, and pharmaceutical compositions.

CROSS-REFERENCE TO RELATED APPLICATION

This patent application is the U.S. National Phase of InternationalPatent Application No. PCT/US2012/033072, filed Apr. 11, 2012, whichclaims the benefit of U.S. Provisional Patent Application No.61/474,583, filed Apr. 12, 2011, each of which is incorporated byreference in its entirety herein.

INCORPORATION-BY-REFERENCE OF MATERIAL SUBMITTED ELECTRONICALLY

Incorporated by reference in its entirety herein is a computer-readablenucleotide/amino acid sequence listing submitted concurrently herewithand identified as follows: One 84,942 Byte ASCII (Text) file named“714283ST25.TXT,” dated Sep. 18, 2013.

BACKGROUND OF THE INVENTION

Malaria, one of the world's most important infectious diseases, istransmitted by mosquitoes and is caused by four species of Plasmodiumparasites (P. falciparum, P. vivax, P. ovale, P. malariae). Symptomsinclude fever, chills, headache, muscle aches, tiredness, nausea andvomiting, diarrhea, anemia, and jaundice. Convulsions, coma, severeanemia and kidney failure can also occur. It remains a leading cause ofdeath globally, especially amongst African children under 5 years ofage. While repeated infections over many years leads to partial immunityin endemic areas, these adults still suffer significant morbidity andloss of productivity. The annual economic loss in Africa due to malariais estimated at US $12 billion.

There is no effective vaccine currently available for malaria. Treatmenthas therefore relied primarily on antimalarial drugs such aschloroquine. Because some malaria parasites have acquired resistance toeach available antimalarial drug, there is a desire to discover anddevelop new antimalarials.

BRIEF SUMMARY OF THE INVENTION

The invention provides methods of treating or preventing malariacomprising administering an effective amount of a compound of formula Ito an animal. Methods of inhibiting a plasmodial surface anion channelof a parasite in an animal are also provided. The invention alsoprovides pharmaceutical compositions comprising a compound representedby formula I in combination with one or more antimalarial compounds,e.g., those represented by formulas II, V, and VI. Use of thepharmaceutical compositions for treating or preventing malaria or forinhibiting a plasmodial surface anion channel in animals includinghumans are also provided. It is contemplated that the inventivecompounds and/or pharmaceutical compositions inhibit a plasmodialsurface anion channel and/or treat or prevent malaria by any number ofmechanisms, for example, by inhibiting one or members of the parasiteclag3 gene family. Embodiments of the inventive compounds have one ormore advantages including, but not limited to: high affinity for the ionchannel, high specificity for the ion channel, no or low cytoxicity, achemical structure that is different from existing antimalarials, anddrug-like features.

Also provided by the invention are clag3 amino acid sequences andrelated nucleic acids, vectors, host cells, populations of cells,antibodies, and pharmaceutical compositions. The invention also providesmethods of treating or preventing malaria in an animal and methods ofstimulating an immune response against a plasmodial surface anionchannel of a parasite in an animal comprising administering to theanimal an effective amount of the inventive clag3 amino acid sequencesand related nucleic acids, vectors, host cells, populations of cells,antibodies, and pharmaceutical compositions.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWING(S)

FIG. 1 is a graph showing sorbitol-induced osmotic lysis kinetics (%lysis) for the allelic exchange clone HB3^(3rec) with indicatedconcentration of ISPA-28 (μM), a compound in accordance with anembodiment of the invention (see Formula A, paragraph below), over time(minutes).

FIG. 2 is a graph showing mean±S.E.M. ISPA-28 dose (μM)-response(normalized P) for HB3^(3rec) (circles). This dose response isintermediate between those of HB3 and Dd2 (top and bottom solid lines,respectively).

FIG. 3A is a graph showing % survival of Dd2 (open triangles) or HB3(filled circles) in PLM medium as a function of ISPA-28 concentration(μM). Solid lines represent the best fits to a two-component exponentialdecay.

FIG. 3B is a graph showing mean±SEM % parasite growth inhibition by 3ISPA-28 for indicated parental lines and progeny clones.

FIG. 4A is a graph showing mean±SEM ISPA-28 dose responses for PSACinhibition before (B) and after transport selection of the 7C20 line (C)followed by PLM growth selection (A).

FIG. 4B is a graph showing expression ratio for the two clag3 allelesclag3.1 and clag3.2 before (unselected) and after (transport) selectionof the 7C20 line followed by PLM growth selection (growth). Barsrepresent mean±SEM of replicates from 2-4 separate trials each.

FIG. 5A is a graph showing ISPA-28 dose response for PSAC inhibition inthe Dd2-PLM28 line (black circles, mean±SEM of up to 5 measurementseach). Solid lines reflect the dose responses for clag3.1 and clag3.2expression in 7C20 (bottom and top lines, respectively).

FIG. 5B is a graph showing the ratio quantifying relative expression ofclag3 and the chimeric gene in Dd2-PLM28 before and aftertransport-based selection for clag3.1 using ISPA-28 (PLM28-rev)presented on a log scale.

DETAILED DESCRIPTION OF THE INVENTION

During its approximately 48 h cycle within the human red blood cell(RBC), P. falciparum must increase the red blood cell's (RBC's)permeability to a broad range of solutes. Electrophysiological studiesidentified the plasmodial surface anion channel (PSAC) as the molecularmechanism of these changes. PSAC's functional properties differ fromthose of known human ion channels. These properties include atypicalgating, unique pharmacology, and an unmatched selectivity profile. Anunusual property is PSAC's ability to exclude Na⁺ by more than100,000-fold relative to Cl⁻ despite the channel's broad permeability toanions and bulky nutrients. This level of exclusion of a single smallsolute has not been reported in other broadly selective channels; it isessential for parasite survival because a higher Na⁺ permeability wouldproduce osmotic lysis of infected RBCs in the high Na⁺ serum.

PSAC plays a central role in parasite nutrient acquisition. Sugars,amino acids, purines, vitamins, and precursors for phospholipidbiosynthesis have markedly increased uptake into infected RBCs via PSAC.Many of these solutes have negligible permeability in uninfected RBCsand must be provided exogenously to sustain in vitro parasite growth.PSAC is conserved on divergent plasmodial species, as determined throughstudies of erythrocytes infected with rodent, avian, and primate malariaparasites. The channel's gating, voltage dependence, selectivity, andpharmacology are all conserved, suggesting that PSAC is a highlyconstrained integral membrane protein. Its surface location on theerythrocyte membrane offers conceptual advantages over parasite targetsburied inside the infected RBC. PSAC's exposed location on infected RBCsforces direct access to antagonists in serum and excludes resistance viadrug extrusion. In contrast, drugs acting within the parasitecompartment must cross at least three membranous barriers to reach theirtarget; clinical resistance to chloroquine and mefloquine appear to belinked to extrusion from their sites of action. Nearly all availablePSAC antagonists inhibit in vitro parasite growth at concentrationsmodestly higher than those required for channel inhibition.

PSAC-inhibitor interactions may be determined by members of the clag3plasmodia gene family. Clag3.1 (also known as RhopH1(3.1) and PFC0120w)and clag3.2 (also known as RhopH1(3.2) and PFC0110w) are members of theclag multigene family conserved in P. falciparum and P. vivax. Clag3.1and clag3.2 are located on P. falciparum chromosome 3. The clag 3.1 genesequence is referenced by Genbank Accession Nos. 124504714 andXM_001351064 (SEQ ID NO: 1). SEQ ID NO: 1 sets forth the mRNA sequenceof the clag3.1 gene without the untranslated regions. The sequence ofthe protein product of the clag 3.1 gene (known as cytoadherence linkedasexual protein 3.1) is referenced by Genbank Accession Nos.XP_001351100 and CAB 10572.2 (SEQ ID NO: 2). The clag 3.2 gene sequenceis referenced by Genbank Accession Nos. 124504712 and XM_001351063 (SEQID NO: 3). SEQ ID NO: 3 sets forth the mRNA sequence of the clag3.2 genewithout the untranslated regions. The sequence of the protein product ofthe clag 3.2 gene (known as cytoadherence linked asexual protein 3.2) isreferenced by Genbank Accession Nos. XP_001351099 and 124504713 (SEQ IDNO: 4). Based on available evidence, clag3.1 and clag3.2 encode theparasite PSAC.

The invention also provides a chimeric clag3.1/clag3.2 gene. SEQ ID NO:79 sets forth the mRNA sequence of the chimeric clag3.1/clag3.2 genewithout the untranslated regions, and SEQ ID NO: 78 sets forth theprotein product of the chimeric clag3.1/clag3.2 gene. Amino acidresidues 1-1011 of SEQ ID NO: 78 correspond to amino acid residues1-1011 of the clag3.1 protein SEQ ID NO: 2. Amino acid residues1012-1417 of SEQ ID NO: 78 correspond to amino acid residues 1014-1416of the clag3.2 protein SEQ ID NO: 4. Based on available evidence, thechimeric clag3.1/clag3.2 gene encodes a parasite PSAC.

Accordingly, the invention provides, in an embodiment, a method oftreating or preventing malaria in an animal comprising administering aneffective amount of a compound of formula (I) to the animal, preferablya human:Q-Y—R¹—R²  (I),

wherein:

Q is selected from the group consisting of a dioxo heterocyclyl ringfused to an aryl group, a heterocyclic amido group linked to aheterocyclic group, alkyl, a heterocyclic group fused to a heterocyclicamido group, arylamino carbonyl, amino, heterocyclic amido, andheterocyclic amino group, each of which, other than amino, is optionallysubstituted with one or more substituents selected from the groupconsisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro, cyano,amino, alkyl, aryl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl;

Y is a bond, S, SO₂, or amido;

R¹ is divalent group selected from the group consisting of aheterocyclic ring having at least one nitrogen atom, piperidinyl,piperazinyl, aryl, a heterocyclic ring having at least one nitrogen atomlinked to an alkylamino group, benzo fused heterocyclyl, heterocyclylfused to an iminotetrahydropyrimidino group, and heterocyclyl fused to aheterocyclic amido group, each of which is optionally substituted withone or more substituents selected from the group consisting of halo,hydroxy, mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl,hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl, alkylamino,dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl;

R² is selected from the group consisting of arylalkenyl, heterocyclylcarbonylamino, heterocyclyl alkylamino, tetrahydroquinolinyl alkenyl,tetrahydroisoquinolinyl alkyl, indolylalkenyl, dihydroindolylalkenyl,aryl, aryloxyalkyl, arylalkyl, diazolyl, and quinolinylalkenyl, each ofwhich is optionally substituted with one or more substituents selectedfrom the group consisting of halo, hydroxy, mercapto, alkoxy, alkylthio,nitro, cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl,aminoalkyl, alkylamino, dialkylamino, carboxy, carboxyalkyl,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, ureido, and formyl;

or a pharmaceutically acceptable salt thereof.

Another embodiment of the invention provides a method of inhibiting aplasmodial surface anion channel of a parasite in an animal comprisingadministering an effective amount of a compound of formula (I) to theanimal, preferably a human:Q-Y—R¹—R²  (I),

or a pharmaceutically acceptable salt thereof, wherein Q, Y, R¹, and R²are as defined above.

Still another embodiment of the invention provides a compound of formula(I):Q-Y—R¹—R²  (I),

or a pharmaceutically acceptable salt thereof, wherein Q, Y, R¹, and R²are as defined above;

for use in treating or preventing malaria in an animal, preferably ahuman.

Yet another embodiment of the invention provides a compound of formula(I):Q-Y—R¹—R²  (I),

or a pharmaceutically acceptable salt thereof, wherein Q, Y, R¹, and R²are as defined above;

for use in inhibiting a plasmodial surface anion channel of a parasitein an animal, preferably a human.

Still another embodiment of the invention provides a use of a compoundof formula (I):Q-Y—R¹—R²  (I),

or a pharmaceutically acceptable salt thereof, wherein Q, Y, R¹, and R²are as defined above;

in the manufacture of a medicament for treating or preventing malaria inan animal, preferably a human.

Yet another embodiment of the invention provides a use of a compound offormula (I):Q-Y—R¹—R²  (I),

or a pharmaceutically acceptable salt thereof, wherein Q, Y, R¹, and R²are as defined above;

in the manufacture of a medicament for inhibiting a plasmodial surfaceanion channel of a parasite in an animal, preferably a human.

In accordance with an embodiment of the invention, Q in formula I isselected from the group consisting of dioxotetrahydroquinoxalinyl,pyridazinyl heterocyclyl, alkyl, heterocyclyl pyridazinyl, andarylaminocarbonylalkyl, each of which is optionally substituted with oneor more substituents selected from the group consisting of halo,hydroxy, mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl,hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl, alkylamino,dialkylamino, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl,

In accordance with an embodiment of the invention, R¹ in formula I isselected from the group consisting of piperidinyl, piperazinyl,piperidinylalkylamino, benzothiazolyl, thiozolyl fused to an iminotetrahydropyrimidino group, and thiazolyl fused to a pyridazone, each ofwhich is optionally substituted with one or more substituents selectedfrom the group consisting of halo, hydroxy, mercapto, alkoxy, alkylthio,nitro, cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl,aminoalkyl, alkylamino, dialkylamino, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl.

In accordance with an embodiment of the invention, R² in formula I isselected from the group consisting of alkyl arylalkenyl,thiopheneylcarbonylamino, tetrahydro quinolinyl alkenyl, tetrahydroisoquinolinylalkyl, alkoxyaryl, aryl, aryloxyalkyl, and arylalkyl, eachof which is optionally substituted with one or more substituentsselected from the group consisting of halo, hydroxy, mercapto, alkoxy,alkylthio, nitro, cyano, amino, alkyl, hydroxyalkyl, haloalkyl,cyanoalkyl, aminoalkyl, alkylamino, dialkylamino, carboxyalkyl,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, ureido, and formyl.

In accordance with an embodiment of the invention, Y in formula I isSO₂. For example, Q in formula I is selected from the group consistingof (point of attachment is represented by a wiggly line here andelsewhere in the application):

methyl, and isobutyl. In accordance with an embodiment of the invention,R¹ in formula I is selected from the group consisting of:

In accordance with an embodiment of the invention, R² is selected fromthe group consisting of:

In accordance with any of the embodiments above, the compound of formulaI is:

In accordance with an embodiment of the invention, Y in formula I is S.For example, in accordance with an embodiment of the invention, Q informula I is selected from the group consisting of:

In accordance with an embodiment of the invention, R¹ in formula I isselected from the group consisting of:

In accordance with an embodiment of the invention, R² in formula I isselected from the group consisting of:

In accordance with an embodiment of the invention, the compound offormula I is:

In accordance with an embodiment of the invention, Y of formula I is abond. For example, in an embodiment of the invention, the compound offormula I is:

In accordance with an embodiment of the invention, Y of formula (I) isamido. In accordance with an embodiment of the invention, Q isheterocyclic amido, R₁ is a heterocyclic ring having at least onenitrogen atom, and R₂ is diazolyl. For example, in an embodiment of theinvention, the compound of formula I is:

In an embodiment of the invention, the compound inhibits growth of P.falciparum Dd2.

Another embodiment of the invention provides a pharmaceuticalcomposition comprising:

i) a compound of formula (I):Q-Y—R¹—R²  (I),

wherein:

Q is selected from the group consisting of a dioxo heterocyclyl ringfused to an aryl group, a heterocyclic amido group linked to aheterocyclic group, alkyl, a heterocyclic group fused to a heterocyclicamido group, arylamino carbonyl, amino, heterocyclic amido, andheterocyclic amino group, each of which, other than amino, is optionallysubstituted with one or more substituents selected from the groupconsisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro, cyano,amino, alkyl, aryl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl;

Y is a bond, S, SO₂, or amido;

R¹ is divalent group selected from the group consisting of aheterocyclic ring having at least one nitrogen atom, piperidinyl,piperazinyl, aryl, a heterocyclic ring having at least one nitrogen atomlinked to an alkylamino group, benzo fused heterocyclyl, heterocyclylfused to an iminotetrahydropyrimidino group, and heterocyclyl fused to aheterocyclic amido group, each of which is optionally substituted withone or more substituents selected from the group consisting of halo,hydroxy, mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl,hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl, alkylamino,dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl;

R² is selected from the group consisting of arylalkenyl, heterocyclylcarbonylamino, heterocyclyl alkylamino, tetrahydroquinolinyl alkenyl,tetrahydroisoquinolinyl alkyl, indolylalkenyl, dihydroindolylalkenyl,aryl, aryloxyalkyl, arylalkyl, diazolyl, and quinolinylalkenyl, each ofwhich is optionally substituted with one or more substituents selectedfrom the group consisting of halo, hydroxy, mercapto, alkoxy, alkylthio,nitro, cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl,aminoalkyl, alkylamino, dialkylamino, carboxy, carboxyalkyl,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, ureido, and formyl;

or a pharmaceutically acceptable salt thereof; and

ii) at least one other antimalarial compound.

The antimalarial compound may be any suitable antimalarial compound andmay act by any mechanism and may, for example, inhibit a PSAC at anysite. In an embodiment of the invention, the antimalarial compound isartemisinin, mefloquine, chloroquine, or derivatives thereof.

In an embodiment of the invention, the at least one other antimalarialcompound is one or more compounds selected from the group consisting of:

-   -   a) a compound of formula II:

wherein R¹⁰⁰ is hydrogen or alkyl and R²⁰⁰ is arylalkyl, optionallysubstituted on the aryl with one or more substituents selected from thegroup consisting of halo, hydroxyl, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl; or R²⁰⁰ is a group of formula (III):

wherein n=0 to 6;

or R¹⁰⁰ and R²⁰⁰ together with the N to which they are attached form aheterocycle of formula IV:

wherein X is N or CH; and

Y₁ is aryl, alkylaryl, dialkylaryl, arylalkyl, alkoxyaryl, orheterocyclic, optionally substituted with one or more substituentsselected from the group consisting of halo, hydroxyl, nitro, cyano,amino, aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, and formyl; and

R³-R¹⁰ are hydrogen or alkyl; or a pharmaceutically acceptable saltthereof;

-   -   (b) a compound of formula V:

-   -   wherein

Z is a group having one or more 4-7 membered rings, wherein at least oneof the rings has at least one heteroatom selected from the groupconsisting of O, S, and N; and when two or more 4-7 membered rings arepresent, the rings may be fused or unfused; wherein the rings areoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, alkoxy, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl;

R^(a) is hydrogen, alkyl, or alkoxy;

L is a bond, alkyl, alkoxy, (CH₂)_(r), or (CH₂O)_(s), wherein r and sare independently 1 to 6;

Q₁ is a heterocyclic group, an aryl group, or an heterocyclyl arylgroup, each of which is optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,alkoxy, nitro, cyano, amino, alkyl, aminoalkyl, alkylamino,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, and formyl; and

when L is alkyl or alkoxy, Q₁ is absent;

or a pharmaceutically acceptable salt thereof; and

-   -   (c) a compound of formula VI:

wherein R¹¹ and R¹² are independently hydrogen, alkyl, cycloalkyl, oraryl which is optionally substituted with one or more substituentsselected from the group consisting of alkyl, alkoxy, halo, hydroxy,nitro, cyano, amino, alkylamino, aminoalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, and formyl;

R¹³-R¹⁵ are independently selected from the group consisting of alkyl,halo, alkoxy, hydroxy, nitro, cyano, amino, alkylamino, aminoalkyl,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, and formyl;

or a pharmaceutically acceptable salt thereof. In this regard, in anembodiment of the invention, the pharmaceutical composition comprises atleast one compound of formula I in combination with one or morecompounds disclosed in U.S. Patent Application Publication No.2011/0144086, which is a United States national stage application ofPCT/US09/50637, filed on Jul. 15, 2009, and which published as WO2010/011537, each of which are incorporated herein by reference.

In accordance with an embodiment of the invention, the pharmaceuticalcomposition comprises a compound of formula I and any one or more of

Another embodiment of the invention provides a method of treating orpreventing malaria in an animal comprising administering to the animalan effective amount of a compound of formula I and at least one otherantimalarial compound. In an embodiment, the at least one otherantimalarial compound is one or more compound(s) selected from the groupconsisting of a compound of formula II, a compound of formula V, and acompound of formula VI.

Still another embodiment of the invention provides a method ofinhibiting a plasmodial surface anion channel of a parasite in an animalcomprising administering to the animal an effective amount of a compoundof formula I and one or more compound(s) selected from the groupconsisting of a compound of formula II, a compound of formula V, and acompound of formula VI.

Referring now to terminology used generically herein, the term “alkyl”implies a straight or branched alkyl moiety containing from, forexample, 1 to 12 carbon atoms, preferably from 1 to 8 carbon atoms, morepreferably from 1 to 6 carbon atoms. Examples of such moieties includemethyl, ethyl, propyl, isopropyl, n-butyl, sec-butyl, isobutyl,tert-butyl, pentyl, isoamyl, hexyl, octyl, dodecanyl, and the like.

The term “aryl” refers to an unsubstituted or substituted aromaticcarbocyclic moiety, as commonly understood in the art, and includesmonocyclic and polycyclic aromatics such as, for example, phenyl,biphenyl, naphthyl, anthracenyl, pyrenyl, and the like. An aryl moietygenerally contains from, for example, 6 to 30 carbon atoms, preferablyfrom 6 to 18 carbon atoms, more preferably from 6 to 14 carbon atoms andmost preferably from 6 to 10 carbon atoms. It is understood that theterm aryl includes carbocyclic moieties that are planar and comprise4n+2 π electrons, according to Hückel's Rule, wherein n=1, 2, or 3.

The term “heterocyclic” means a cyclic moiety having one or moreheteroatoms selected from nitrogen, sulfur, and/or oxygen. Preferably, aheterocyclic is a 5 or 6-membered monocyclic ring and contains one, two,or three heteroatoms selected from nitrogen, oxygen, and/or sulfur.Examples of such heterocyclic rings are pyrrolinyl, pyranyl, piperidyl,tetrahydrofuranyl, tetrahydrothiopheneyl, and morpholinyl.

The term “alkoxy” embraces linear or branched alkyl groups that areattached to a an ether oxygen. The alkyl group is the same as describedherein. Examples of such substituents include methoxy, ethoxy, t-butoxy,and the like.

The term “halo” as used herein, means a substituent selected from GroupVITA, such as, for example, fluorine, bromine, chlorine, and iodine.

For the purpose of the present invention, the term “fused” includes apolycyclic compound in which one ring contains one or more atomspreferably one, two, or three atoms in common with one or more otherrings.

Whenever a range of the number of atoms in a structure is indicated(e.g., a C₁₋₁₂, C₁₋₈, C₁₋₆, or C₁₋₄ alkyl, alkylamino, etc.), it isspecifically contemplated that any sub-range or individual number ofcarbon atoms falling within the indicated range also can be used. Thus,for instance, the recitation of a range of 1-8 carbon atoms (e.g.,C₁-C₈), 1-6 carbon atoms (e.g., C₁-C₆), 1-4 carbon atoms (e.g., C₁-C₄),1-3 carbon atoms (e.g., C₁-C₃), or 2-8 carbon atoms (e.g., C₂-C₈) asused with respect to any chemical group (e.g., alkyl, alkylamino, etc.)referenced herein encompasses and specifically describes 1, 2, 3, 4, 5,6, 7, 8, 9, 10, 11, and/or 12 carbon atoms, as appropriate, as well asany sub-range thereof (e.g., 1-2 carbon atoms, 1-3 carbon atoms, 1-4carbon atoms, 1-5 carbon atoms, 1-6 carbon atoms, 1-7 carbon atoms, 1-8carbon atoms, 1-9 carbon atoms, 1-10 carbon atoms, 1-11 carbon atoms,1-12 carbon atoms, 2-3 carbon atoms, 2-4 carbon atoms, 2-5 carbon atoms,2-6 carbon atoms, 2-7 carbon atoms, 2-8 carbon atoms, 2-9 carbon atoms,2-10 carbon atoms, 2-11 carbon atoms, 2-12 carbon atoms, 3-4 carbonatoms, 3-5 carbon atoms, 3-6 carbon atoms, 3-7 carbon atoms, 3-8 carbonatoms, 3-9 carbon atoms, 3-10 carbon atoms, 3-11 carbon atoms, 3-12carbon atoms, 4-5 carbon atoms, 4-6 carbon atoms, 4-7 carbon atoms, 4-8carbon atoms, 4-9 carbon atoms, 4-10 carbon atoms, 4-11 carbon atoms,and/or 4-12 carbon atoms, etc., as appropriate).

In accordance with an embodiment of the invention, R³ in formula II ishydrogen. In accordance with the above embodiments, R⁴-R⁷ in formula IIare hydrogen. In an example, R¹⁰⁰ in formula II is hydrogen and R²⁰⁰ isa group of formula III, wherein n=1 to 6, preferably n=2 to 4.

In accordance with an embodiment of the invention, wherein R¹⁰⁰ and R²⁰⁰together with the N to which they are attached form a heterocycle offormula IV. For example, X in formula IV is N. In accordance with theinvention, in formula IV, Y₁ is aryl which is optionally substitutedwith one or more substituents selected from the group consisting ofhalo, hydroxyl, nitro, cyano, amino, alkyl, alkoxy, aminoalkyl,alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, and formyl.For example, in formula IV, Y₁ is phenyl, which is optionallysubstituted with one or more substituents selected from the groupconsisting of halo, hydroxyl, nitro, cyano, amino, alkyl, alkoxy,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl, specifically, Y₁ is phenyl or phenyl substituted with one ormore substituents selected from the group consisting of methyl, chloro,fluoro, and methoxy.

In accordance with any of the embodiments above, the compound of formulaII is:

In accordance with another embodiment of the invention, X in formula IVis CH. In a particular embodiment, Y₁ is arylalkyl or heterocyclic,which is optionally substituted with one or more substituents selectedfrom the group consisting of halo, hydroxyl, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl. Illustratively, Y₁ is benzyl or piperidinyl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxyl, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl. Examples of specific compounds of formula II are:

In another embodiment of the invention, R¹⁰⁰ in formula II is hydrogenand R²⁰⁰ is arylalkyl, optionally substituted on the aryl with asubstituent selected from the group consisting of halo, hydroxyl, nitro,cyano, amino, alkyl, aminoalkyl, alkylamino, alkylcarbonyl, and formyl.As an example, R²⁰⁰ is arylalkyl, e.g., phenylalkyl such as phenylbutyl. A specific example of such a compound of formula II is:

In accordance with an embodiment of the invention, a specific example ofa compound of formula III is:

In accordance with another embodiment of the invention, in the compoundof formula V, L is a bond or (CH₂O)_(s), and Q₁ is a heterocyclic group,an aryl group, or an heterocyclyl aryl group, each of which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, alkoxy, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl.

In accordance with an embodiment, wherein Z is a group having one ormore 4-7 membered rings, wherein at least one of the rings has at leastone heteroatom selected from the group consisting of O, S, and N; andwhen two or more 4-7 membered rings are present, they may be fused orunfused; wherein the rings are optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,alkoxy, nitro, cyano, amino, alkyl, aminoalkyl, alkylamino,alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, and formyl.

In the above embodiment, Z is a group having one or two 4-7 memberedrings, wherein at least one of the rings has at least one heteroatomselected from the group consisting of O, S, and N; and when two 4-7membered rings are present, they may be fused or unfused; wherein therings are optionally substituted with one or more substituents selectedfrom the group consisting of halo, hydroxy, alkoxy, nitro, cyano, amino,alkyl, aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, and formyl.

In a specific embodiment of the formula V, Q₁ is an aryl group,optionally substituted with an alkoxy group or Q₁ is a heterocyclicgroup which is saturated or unsaturated. For example, Q₁ is aryl such asphenyl or naphthyl.

Examples of compounds of formula IV are:

In accordance with an embodiment of the invention, in the compound offormula V, Q₁ is a heteroaromatic group, e.g., pyridyl. An example ofsuch a compound is:

In accordance with another embodiment of the invention, in the compoundof formula V, L is an alkyl group and Q₁ is absent. Examples of suchcompounds are:

In accordance with another embodiment of the invention, in the compoundof formula VI, R¹³ is alkyl or alkoxy and R¹⁴ and R¹⁵ are hydrogen. In aparticular embodiment, R¹³ is methyl or methoxy.

In the above embodiments of the compound of formula VI, specifically,R¹¹ is alkyl and R¹² is alkyl, cycloalkyl, or aryl, wherein said aryl isoptionally substituted with one or more substituents selected from thegroup consisting of alkyl, alkoxy, halo, hydroxy, nitro, cyano, amino,alkylamino, aminoalkyl, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl. In a particular embodiment, R¹² is alkyl, cycloalkyl, oraryl, wherein said aryl is optionally substituted with one or more alkyland/or alkoxy substituents.

Examples of compounds of formula VI are:

In accordance with an embodiment of the invention, in compound offormula VI, R¹¹ is hydrogen and R¹² is cycloalkyl or aryl, which isoptionally substituted with one or more alkyl and/or alkoxysubstituents. Exemplary compounds of formula VI are:

In accordance with the invention, an effective amount of a compound offormula I is administered in combination with any one or morecompound(s) of formulas II, V, and VI, for example, a combination ofcompounds of formulas I and II, compounds of formulas I and V, compoundsof formulas I and VI, compounds of formulas I, II and V, compounds offormulas I, II and VI, compounds of formulas I, V and VI, or compoundsof formulas I, II, V, and VI, or pharmaceutically acceptable saltsthereof, is administered. It is contemplated that such combinationsprovide synergy—enhanced killing of the parasite, when a combination oftwo or more compounds are employed. The extent of killing is greaterthan the sum of the individual killings.

The compounds of the invention can be prepared by suitable methods aswould be known to those skilled in the art or obtained from commercialsources such as ChemDiv Inc., San Diego, Calif. or Peakdale MolecularLimited, High Peak, England. See also WO 00/27851 and U.S. Pat. Nos.6,602,865 and 2,895,956.

Another embodiment of the invention provides a clag3 amino acid sequencecomprising, consisting of, or consisting essentially of SEQ ID NO: 62,64, 66, 72, 74, or 76, with the proviso that the amino acid sequence isnot SEQ ID NO: 2, 4, or 78. SEQ ID NOs: 62, 64, 66, 74, and 76correspond to amino acid residues 1063-1208, 1232-1417, 25-332, 488-907,and 925-1044 of the clag3.1 protein of the 3D7 parasite line. SEQ ID NO:72 corresponds to amino acid residues 1063-1244 of the clag3.1 proteinof the Dd2 parasite line. SEQ ID NOs: 62, 64, 66, 72, 74, and 76 areencoded by nucleotide sequence SEQ ID NOs: 63, 65, 67, 73, 75, and 77,respectively.

In this regard, an embodiment of the invention provides a clag3 aminoacid sequence comprising, consisting of, or consisting essentially ofSEQ ID NO: 62, 64, 66, 72, 74, or 76, with the proviso that the aminoacid sequence is not SEQ ID NO: 2, 4, or 78.

Another embodiment of the invention provides a nucleic acid comprising anucleotide sequence encoding the inventive amino acid sequences, withthe proviso that the nucleotide sequence is not SEQ ID NO: 1, 3, or 79.For example, the nucleotide sequence comprises, consists, or consistsessentially of SEQ ID NO: 63, 65, 67, 73, 75, or 77.

Further embodiments of the invention provide a recombinant expressionvector comprising an inventive nucleic acid, an isolated host cellcomprising the inventive recombinant expression vector, a population ofcells comprising the inventive host cell, and an antibody, or antigenbinding portion thereof, which specifically binds to an inventive aminoacid sequence. The inventive amino acid sequence, nucleic acid,recombinant expression vector, host cell, population of cells, and/orantibody, or antigen binding portion thereof may be isolated orpurified.

Still another embodiment of the invention provides a pharmaceuticalcomposition comprising the inventive amino acid sequence, nucleic acid,recombinant expression vector, host cell, population of cells, and/orantibody, or antigen binding portion thereof, and a pharmaceuticallyacceptable carrier.

Yet another embodiment of the invention provides a method of treating orpreventing malaria in an animal comprising administering to the animalan effective amount of the inventive amino acid sequence, nucleic acid,recombinant expression vector, host cell, population of cells, antibody,or antigen binding portion thereof, and/or pharmaceutical composition.

Yet another embodiment of the invention provides a method of stimulatingan immune response against a plasmodial surface anion channel of aparasite in an animal comprising administering to the animal aneffective amount of the inventive amino acid sequence, nucleic acid,recombinant expression vector, host cell, population of cells, antibody,or antigen binding portion thereof, and/or pharmaceutical composition.In an embodiment, stimulating an immune response comprises stimulatingthe production of antibodies that specifically bind to the plasmodialsurface anion channel.

The pharmaceutically acceptable carriers described herein, for example,vehicles, adjuvants, excipients, or diluents, are well known to thosewho are skilled in the art and are readily available to the public. Itis preferred that the pharmaceutically acceptable carrier be one whichis chemically inert to the active compounds and one which has nodetrimental side effects or toxicity under the conditions of use.

The choice of carrier will be determined in part by the particularactive agent, as well as by the particular method used to administer thecomposition. Accordingly, there is a wide variety of suitableformulations of the pharmaceutical composition of the present invention.The following formulations for oral, aerosol, parenteral, subcutaneous,intravenous, intraarterial, intramuscular, interperitoneal, intrathecal,rectal, and vaginal administration are merely exemplary and are in noway limiting.

Formulations suitable for oral administration can consist of (a) liquidsolutions, such as an effective amount of the compound dissolved indiluents, such as water, saline, or orange juice; (b) capsules, sachets,tablets, lozenges, and troches, each containing a predetermined amountof the active ingredient, as solids or granules; (c) powders; (d)suspensions in an appropriate liquid; and (e) suitable emulsions. Liquidformulations may include diluents, such as water and alcohols, forexample, ethanol, benzyl alcohol, and the polyethylene alcohols, eitherwith or without the addition of a pharmaceutically acceptablesurfactant, suspending agent, or emulsifying agent. Capsule forms can beof the ordinary hard- or soft-shelled gelatin type containing, forexample, surfactants, lubricants, and inert fillers, such as lactose,sucrose, calcium phosphate, and cornstarch. Tablet forms can include oneor more of lactose, sucrose, mannitol, corn starch, potato starch,alginic acid, microcrystalline cellulose, acacia, gelatin, guar gum,colloidal silicon dioxide, croscarmellose sodium, talc, magnesiumstearate, calcium stearate, zinc stearate, stearic acid, and otherexcipients, colorants, diluents, buffering agents, disintegratingagents, moistening agents, preservatives, flavoring agents, andpharmacologically compatible carriers. Lozenge forms can comprise theactive ingredient in a flavor, usually sucrose and acacia or tragacanth,as well as pastilles comprising the active ingredient in an inert base,such as gelatin and glycerin, or sucrose and acacia, emulsions, gels,and the like containing, in addition to the active ingredient, suchcarriers as are known in the art.

The compounds of the present invention, alone or in combination withother suitable components, can be made into aerosol formulations to beadministered via inhalation. These aerosol formulations can be placedinto pressurized acceptable propellants, such asdichlorodifluoromethane, propane, nitrogen, and the like. They also maybe formulated as pharmaceuticals for non-pressured preparations, such asin a nebulizer or an atomizer.

Formulations suitable for parenteral administration include aqueous andnon-aqueous, isotonic sterile injection solutions, which can containanti-oxidants, buffers, bacteriostats, and solutes that render theformulation isotonic with the blood of the intended recipient, andaqueous and non-aqueous sterile suspensions that can include suspendingagents, solubilizers, thickening agents, stabilizers, and preservatives.The compound can be administered in a physiologically acceptable diluentin a pharmaceutical carrier, such as a sterile liquid or mixture ofliquids, including water, saline, aqueous dextrose and related sugarsolutions, an alcohol, such as ethanol, isopropanol, or hexadecylalcohol, glycols, such as propylene glycol or polyethylene glycol,glycerol ketals, such as 2,2-dimethyl-1,3-dioxolane-4-methanol, ethers,such as polyethyleneglycol) 400, an oil, a fatty acid, a fatty acidester or glyceride, or an acetylated fatty acid glyceride with orwithout the addition of a pharmaceutically acceptable surfactant, suchas a soap or a detergent, suspending agent, such as pectin, carbomers,methylcellulose, hydroxypropylmethylcellulose, orcarboxymethylcellulose, or emulsifying agents and other pharmaceuticaladjuvants.

Oils, which can be used in parenteral formulations include petroleum,animal, vegetable, or synthetic oils. Specific examples of oils includepeanut, soybean, sesame, cottonseed, corn, olive, petrolatum, andmineral. Suitable fatty acids for use in parenteral formulations includeoleic acid, stearic acid, and isostearic acid. Ethyl oleate andisopropyl myristate are examples of suitable fatty acid esters. Suitablesoaps for use in parenteral formulations include fatty alkali metal,ammonium, and triethanolamine salts, and suitable detergents include (a)cationic detergents such as, for example, dimethyl dialkyl ammoniumhalides, and alkyl pyridinium halides, (b) anionic detergents such as,for example, alkyl, aryl, and olefin sulfonates, alkyl, olefin, ether,and monoglyceride sulfates, and sulfosuccinates, (c) nonionic detergentssuch as, for example, fatty amine oxides, fatty acid alkanolamides, andpolyoxyethylene-polypropylene copolymers, (d) amphoteric detergents suchas, for example, alkyl-beta-aminopropionates, and 2-alkyl-imidazolinequaternary ammonium salts, and (3) mixtures thereof.

The parenteral formulations will typically contain from about 0.5 toabout 25% by weight of the active ingredient in solution. Suitablepreservatives and buffers can be used in such formulations. In order tominimize or eliminate irritation at the site of injection, suchcompositions may contain one or more nonionic surfactants having ahydrophile-lipophile balance (HLB) of from about 12 to about 17. Thequantity of surfactant in such formulations ranges from about 5 to about15% by weight. Suitable surfactants include polyethylene sorbitan fattyacid esters, such as sorbitan monooleate and the high molecular weightadducts of ethylene oxide with a hydrophobic base, formed by thecondensation of propylene oxide with propylene glycol. The parenteralformulations can be presented in unit-dose or multi-dose sealedcontainers, such as ampoules and vials, and can be stored in afreeze-dried (lyophilized) condition requiring only the addition of thesterile liquid carrier, for example, water, for injections, immediatelyprior to use. Extemporaneous injection solutions and suspensions can beprepared from sterile powders, granules, and tablets of the kindpreviously described.

The compounds of the present invention may be made into injectableformulations. The requirements for effective pharmaceutical carriers forinjectable compositions are well known to those of ordinary skill in theart. See Pharmaceutics and Pharmacy Practice, J. B. Lippincott Co.,Philadelphia, Pa., Banker and Chalmers, eds., pages 238-250 (1982), andASHP Handbook on Injectable Drugs, Toissel, 4th ed., pages 622-630(1986).

Additionally, the compounds of the present invention may be made intosuppositories by mixing with a variety of bases, such as emulsifyingbases or water-soluble bases. Formulations suitable for vaginaladministration may be presented as pessaries, tampons, creams, gels,pastes, foams, or spray formulas containing, in addition to the activeingredient, such carriers as are known in the art to be appropriate.

Suitable carriers and their formulations are further described in A. R.Gennaro, ed., Remington: The Science and Practice of Pharmacy (19thed.), Mack Publishing Company, Easton, Pa. (1995).

The compound of the invention or a composition thereof can potentiallybe administered as a pharmaceutically acceptable acid-addition, baseneutralized or addition salt, formed by reaction with inorganic acids,such as hydrochloric acid, hydrobromic acid, perchloric acid, nitricacid, thiocyanic acid, sulfuric acid, and phosphoric acid, and organicacids such as formic acid, acetic acid, propionic acid, glycolic acid,lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid,maleic acid, and fumaric acid, or by reaction with an inorganic base,such as sodium hydroxide, ammonium hydroxide, potassium hydroxide, andorganic bases, such as mono-, di-, trialkyl, and aryl amines andsubstituted ethanolamines. The conversion to a salt is accomplished bytreatment of the base compound with at least a stoichiometric amount ofan appropriate acid. Typically, the free base is dissolved in an inertorganic solvent such as diethyl ether, ethyl acetate, chloroform,ethanol, methanol, and the like, and the acid is added in a similarsolvent. The mixture is maintained at a suitable temperature (e.g.,between 0° C. and 50° C.). The resulting salt precipitates spontaneouslyor can be brought out of solution with a less polar solvent.

The neutral forms of the compounds can be regenerated by contacting thesalt with a base or acid and isolating the parent compound in theconventional manner. The parent form of the compound differs from thevarious salt forms in certain physical properties, such as solubility inpolar solvents, but otherwise the salts are equivalent to the parentform of the compound for the purposes of the present invention.

The amount or dose of a compound of the invention or a salt thereof, ora composition thereof should be sufficient to affect a therapeutic orprophylactic response in the mammal. The appropriate dose will dependupon several factors. For instance, the dose also will be determined bythe existence, nature and extent of any adverse side effects that mightaccompany the administration of a particular compound or salt.Ultimately, the attending physician will decide the dosage of thecompound of the present invention with which to treat each individualpatient, taking into consideration a variety of factors, such as age,body weight, general health, diet, sex, compound or salt to beadministered, route of administration, and the severity of the conditionbeing treated. By way of example and not intending to limit theinvention, the dose of the compound(s) described herein can be about 0.1mg to about 1 g daily, for example, about 5 mg to about 500 mg daily.Further examples of doses include but are not limited to: 0.1 mg, 0.15mg, 0.2 mg, 0.25 mg, 0.5 mg, 0.6 mg, 0.75 mg, 1 mg, 1.5 mg, 2 mg, 3 mg,4 mg, 5 mg, 6 mg, 7 mg, 8 mg, 9 mg, 10 mg, 12 mg, 15 mg, 17 mg, 20 mg,25 mg, 30 mg, 35 mg, 40 mg, 45 mg, 50 mg, 55 mg, 60 mg, 70 mg, 75 mg, 80mg, 85 mg, 90 mg, 95 mg, 100 mg, 125 mg, 140 mg, 150 mg, 175 mg, 200 mg,225 mg, 250 mg, 300 mg, 350 mg, 400 mg, 450 mg, 500 mg, 550 mg, 600 mg,650 mg, 700 mg, 750 mg, 800 mg, 850 mg, 900 mg, 950 mg, or 1000 mg/kgbody weight per day.

The following examples further illustrate the invention but, of course,should not be construed as in any way limiting its scope.

EXAMPLES Osmotic Lysis Experiments and High-Throughput Inhibitor Screen

Laboratory lines of P. falciparum were cultured by standard methods,enriched at the trophozoite stage using the Percoll-sorbitol method,washed, and resuspended at 25° C. and 0.15% hematocrit in 280 mMsorbitol, 20 mM Na-1-IEPES, 0.1 mg/ml BSA, pH 7.4 with indicatedconcentrations of inhibitors; uptake of proline, alanine, andphenyl-trimethylammonium chloride (PhTMA-Cl) was similarly measuredafter iso-osmotic replacement for sorbitol. Osmotic swelling and lysiswere continuously tracked by recording transmittance of 700-nm lightthrough the cell suspension (DU640 spectrophotometer with Peltiertemperature control, Beckman Coulter). Recordings were normalized to100% osmotic lysis of infected cells at the transmittance plateau.Inhibitor dose responses were calculated by interpolation of the timerequired to reach fractional lysis thresholds. Dose responses werefitted to the sum of two Langmuir isotherms:P=a/(1+(x/b))+(1−a)/(1+(x/c))  (Eq. S1)where P represents the normalized solute permeability in the presence ofinhibitor at concentration x, and a, b, and c are constants.

High-throughput screens using this transmittance assay were performedidentically with HB3- and Dd2-infected cells at room temperature using acommercial library of 50,000 compounds with >90% purity confirmed by NMR(ChemDiv). Screens were performed in 384-well format with individualwells containing a single compound at 10 μM final concentration. Eachmicroplate had two types of controls. 32 positive control wells receivedPBS instead of sorbitol; erythrocytes in these wells do not lyse becausePSAC has low Na⁺ permeability. 32 negative control wells receivedsorbitol with DMSO but no test compound. Readings were taken at multipletimepoints to permit estimation of inhibitor affinity in ahigh-throughput format. The purity and molecular weight of ISPA-28 wereconfirmed by mass spectrometry.

The activity of each screening compound was calculated based on readingsat the 2 h timepoint according to:% B=100*(A _(cpd) −Ā _(neg))/(Ā _(pos) −Ā _(neg))  (Eq. S2)where % B is the normalized channel block and A_(cpd) represents theabsorbance from a well containing a test compound. A_(neg) and A_(pos)represent the mean absorbances of in-plate negative and positive controlwells. % B is a quantitative measure of inhibitor activity.

Inhibitors having significantly differing efficacies against uptake byHB3- and Dd2-infected cells were selected using a weighted differencestatistic (WDS), determined from % B values at the 2 h timepointaccording to:WDS=|% B _(HB3)−% B _(Dd2)|/(3*σ_(pos))  (Eq. S3)where σ_(pos) is the standard deviation of in-plate positive controlwells. Isolate-specific inhibitors have WDS≧1.0; larger valuescorrespond to greater differences in efficacy against uptake by the twoscreened parasite lines. Analysis and data mining of the screens wereautomated using locally developed code (DIAdem 10.2 and DataFinder,National Instruments).Electrophysiology

Recordings were obtained with quartz patch pipettes (1-3 MΩ) andsymmetric bath and pipette solutions of 1,000 mM choline chloride, 115mM NaCl, 10 mM MgCl₂, 5 mM CaCl₂, 20 mM Na-HEPES, pH 7.4. Where present,ISPA-28 was added to both bath and pipette compartments. Sealresistances were >100 GΩ. Recordings were obtained at imposed membranepotentials of −100 mV, applied as steps from a holding potential of 0mV, using an Axopatch 200B amplifier (Molecular Devices), low-passfiltered at 5 kHz (8-pole Bessel, Frequency Devices), digitized at 100kHz, and recorded with Clampex 9.0 software (Molecular Devices).

Single channel open probabilities and gating analyses were determinedusing locally developed code (DIAdem 8.1, National Instruments). Thecode for tallying closed channel durations was applied to recordingsobtained as voltage steps of 10 s duration to preserve seal integrity.It detects mid-threshold crossings, uses linear interpolation ofadjacent sample times, and corrects for a Gaussian filter risetime of66.4 μs as described in detail previously (Desai et al., Nanomedicine,1: 58-66 (2005)). Durations were tallied into 16 bins/decade, normalizedto percent of the total number of events, and displayed on square rootplots, where time constants for simple exponentially decaying processesare visible as maxima (Sigworth et al., Biophys. J. 52: 1047-54 (1987)).

Quantitative Trait Locus (QTL) Analysis of ISPA-28 Efficacies

A distinct collection of 443 polymorphic microsatellite markers wereselected that distinguish the Dd2 and HB3 parental lines (Su et al.,Science, 286: 1351-53 (1999)). 5 additional single nucleotidepolymorphisms within the chromosome 3 locus were identified by DNAsequencing and were used to genotype progeny clones. This genotype datawas used to search for genetic loci associated with ISPA-28 efficacy inthe genetic cross progeny by performing QTL analysis with R/qtl software(available at http://www.rqtl.org/) as described (Broman et al.,Bioinformatics, 19: 889-90 (2003)). Because P. falciparum asexual stagesare haploid, the analysis was analogous to that for recombinant inbredgenetic crosses. Significance thresholds at the P=0.05 level weredetermined by permutation analysis. A secondary scan to search foradditional QTL was carried out by controlling for the primary chromosome3 locus as described in the R/qtl software package.

piggyBac Transposase-Mediated Complementation

Individual candidate genes and a conserved open reading frame within themapped locus were evaluated using piggyBac transposase-mediatedcomplementation (Balu et al. PNAS, 102: 16391-96 (2005)). Eachcandidate, along with its presumed endogenous 5′ promoter region (1-2 kbupstream of the start ATG) and 3′UTR (0.5 kb downstream from the stopcodon), was PCR amplified from HB3 genomic DNA with primers listed belowin Table 1, and inserted into the multiple cloning site of thepXL-BacII-DHFR vector; ligation places the insert adjacent to the humandihydrofolate reductase gene (hDHFR), whose product permits selection bythe antifolate WR99210. This integration cassette is flanked by twoinverted terminal repeats (ITR) that are recognized by piggyBac.Transgene-bearing plasmids were cotransfected into Dd2 with pHTH, ahelper plasmid that encodes the transposase but lacks a selectablemarker. Expression of the transposase facilitates genomic integration ofthe transgene and hDHFR.

Dye-terminator sequencing of cDNA was used to confirm transgeneexpression based on detection of known polymorphic sites as doubletpeaks in sequence chromatograms. Briefly, cDNA was generated by reversetranscription from total RNA with SuperScriptIII kit (Invitrogen)according to manufacturer instructions. Specific transcripts were thenamplified with gene-specific primers. HB3 alleles noted as not expressedwere either not detected by this method or not examined due to the lackof polymorphism between Dd2 and HB3.

TABLE 1 gene Forward primer sequence Reverse primer sequence PFC0075CATACCGTCGACTTGTCAATTTTT AATTAGGTACCGTACAAATAAAT ATGTTTGCATAAACGACAATATTTTTCATAGCAA (SEQ ID NO: 5) (SEQ ID NO: 6) PFC0080CTATCCGTCGACTCTATTTACACT AATTAGGTACCCTTCATTGAAAA CATGAAGACAGAGGTAATTTTACAAGGGTATC (SEQ ID NO: 7) (SEQ ID NO: 8) PFC0085CATACCGTCGACTATGAATGATTG AATATGGTACCTACACATTGACA TACTACTTTTGTAAGAATTAGGGTATCATCATT (SEQ ID NO: 9) (SEQ ID NO: 10) PFC0090WATACCGTCGACCCTTTTTACACG AATTAGGTACCGTTAACACGAAC TATATTCGGACAATCAATTTTGCAGTATG (SEQ ID NO: 11) (SEQ ID NO: 12) PFC0095CATACCGTCGACCAAAAAACCGAA AATTAGGTACCATGAAATATGTA ATGGCATTTCATACGTGGGTTAAAAG (SEQ ID NO: 13) (SEQ ID NO: 14) PFC0100CATACCGTCGACTTCCATGTTTAA AATTAGGTACCCGACATTATGTT AGTGAAATTAGAAGATATATTTCGGCGA (SEQ ID NO: 15) (SEQ ID NO: 16) PFC0105WATACCGTCGACCAGTATATATAA AATTAGGTACCAGTGTTTTAAGG TCAAATTGAGCTTAAAAAGCAATAATTATATTGTATT (SEQ ID NO: 17) (SEQ ID NO: 18) PFC0110WTCGACCTCGAGCATAAAATTGTG ACGTAGGGCCCATGTATAAATGA TGTTTCATTAAAATCATAAAATGAATGTGACTCTT (SEQ ID NO: 19) (SEQ ID NO: 20) PFC0115CATTCAGTCGACAAGAAAAAGGTA TATTCGGTACCTTTGTAATATAC ATATTTTAGTACACTCAACTTTATGCGTTGACA (SEQ ID NO: 21) (SEQ ID NO: 22) PFC0120WATGCAGTCGACATGCACTCATTA TCGATGGGCCCCTTTTCAATTAA ATAATTTTAAACCGTTTTTATATTCTTTTGTTC (SEQ ID NO: 23) (SEQ ID NO: 24) PFC0125WATACCGTCGACCCTGACGATGAA TATAAGGTACCCAGGTTAATATA TTAATGATATCACGGCCAAAATAAATTGAAA (SEQ ID NO: 25) (SEQ ID NO: 26) PFC0126CATAGAGTCGACGGATATTAGCTG GATTTGGTACCTTTGTTTTCATG ATAAAGCAGCAGCTCCCATCATAATTC (SEQ ID NO: 27) (SEQ ID NO: 28) PFC0130CATACCGTCGACTATTCTACTTAA ACATTGGGCCCTTCCCCTCACAT AGATGAATAGCACATATGATCAATCATAAAT (SEQ ID NO: 29) (SEQ ID NO: 30) ORF 147kATACAGTCGACGCATCCTATTCC ACTGAGGGCCCGACAAGAAGCAT CATCCTTTCCT TACAGAGAGCAA(SEQ ID NO: 31) (SEQ ID NO: 32) PFC0135c ATACCGTCGACATTTTGCCCAAGAATTAGGTACCCAGAGAAAGAAA AATATAAAATAATAAGAT AATGTCAATATAAATAAA(SEQ ID NO: 33) (SEQ ID NO: 34)Allelic Exchange of Clag3

Allelic exchange was achieved by single-site homologous recombination ofa Dd2 clag3.1 transgene into the HB3 genomic clag3.2. A DNA fragmentcontaining the 3′ portion (3219 bp) of clag3.1 and its 3′ UTR (441 bp)was amplified from Dd2 with primers5′-cataagcggccgcGCCATTCAGACCAAGCAAGG-3′ (SEQ ID NO: 35) and5′-ttaaactgcagCTTTTCAATTAATTTTATATTCTTTTGTTC-3′ (SEQ ID NO: 36). Theamplicon was cloned into the pHD22Y plasmid (Fidock et al., PNAS, 94:10931-36 (1997)) between NotI and PstI sites. The final transfectionplasmid (pHD22Y-120w-flag-PG1) was constructed by addition of DNAsequence encoding tetra-cysteines and the FLAG epitope tag(FLNCCPCCMEPGSDYKDDDDK) (SEQ ID NO: 37) in frame before the gene's stopcodon by standard site-directed mutagenesis. Homologous recombinationinto HB3 was detected by PCR five months after transfection. Recombinantparasites were enriched by sorbitol treatment with ISPA-28 and subjectedto limiting dilution to yield the limiting dilution clone HB3^(3rec).

Primers used for PCR verification of homologous recombination into theHB3 genome included those in Table 2:

TABLE 2 primer sequence p1 GTGGAATTGTGAGCGGATAACA (SEQ ID NO: 38) p2TCATCGTCCTTATAGTCGGATCC (SEQ ID NO: 39) P3 ATGTTTTGTAATTTATGGGATAGCGA(SEQ ID NO: 40) p4 GTTGAGTACGCACTAATATGTCAATTTG (SEQ ID NO: 41) P5AACCATAACATTATCATATATGTTAATTACAC (SEQ ID NO: 42)Southern Blot Hybridization

Genomic DNA was extracted using Wizard Genomic DNA extraction kit(Promega), digested with indicated restriction enzymes, resolved on a0.7% agarose gel at 55 V for 18 hrs, and blotted onto positively chargedNylon membrane (Roche). A DNA probe complementary to hdhfr was preparedusing primers (5′-ATTTCCAGAGAATGACCACAAC-3′ (SEQ ID NO: 43) and5′-TTAAGATGGCCTGGGTGATTC-3′) (SEQ ID NO: 44) and labeled withdigoxigenin-dUTP. After prehybridization with DIG-Easy Hyb (Roche), thelabeled probe was added and hybridized overnight at 39° C. The blot waswashed with 0.1×SSC/0.5% SDS at 53° C., and blocked. Probe binding wasthen detected with anti-digoxigenin-AP Fab fragments at a dilution of1:10,000 and CDP-Star substrate (Roche).

Quantification of Gene Expression by Real-Time PCR

Two-step real-time PCR was used to quantify expression of clag genes.Primers specific for each of the 5 clag genes were designed based onpolymorphisms identified through DNA sequencing. Genomic DNA PCR usingpossible permutations of forward and reverse primers produced ampliconswith only matched primer pairs, confirming specificity. Primers usedincluded those in Table 3:

TABLE 3 gene (parasite line) Forward primer sequenceReverse primer sequence clag2 (all) CTCTTACTACTTATTATCTATCTCTCACCAGGCGTAGGTCCTTTAC (SEQ ID NO: 45) (SEQ ID NO: 46) clag3.1 (Dd2, ACCCATAACTACATATTTTCTAGTAATG GACAAGTTCCAGAAGCATCCT 7C12, 7C20,(SEQ ID NO: 47) (SEQ ID NO: 48) CH361) clag3.1ACCCATAACTACATATTTTCTAGTAATG AGATTTAGTTACACTTGAAGAATTAGTATT(HB3, HB3^(3rec)) (SEQ ID NO: 49) (SEQ ID NO: 50) clag3.2 (Dd2, ACCCATAACTACATATTTTCTAGTAATG GATTTATAACTAGGAGCACTACATTTA 7C12, 7C20,(SEQ ID NO: 51) (SEQ ID NO: 52) CH361) clag3.2 (HB3)ACCCATAACTACATATTTTCTAGTAATG TTATAACCATTAGGAGCACTACTTTC (SEQ ID NO: 53)(SEQ ID NO: 54) chimeric ACCCATAACTACATATTTTCTAGTAATGGACAAGTTCCAGAAGCATCCT clag3recom (SEQ ID NO: 55) (SEQ ID NO: 56)transgene (HB3^(3rec)) clag8 (all) GTTACTACAACATTCCTGATTCAGAATGAAAATATAAAAATGCTGGGGGAT (SEQ ID NO: 57) (SEQ ID NO: 58) clag9 (Dd2,TACCATTAGTGTTTTATACACTTAAGG CCAAAATATGGCCAAGTACTTGC 7C12, 7C20,(SEQ ID NO: 59) (SEQ ID NO: 60) CH361)

Total RNA was harvested from synchronous schizont-stage cultures withTrizol reagent (Invitrogen) following the manufacturer's protocol.Residual genomic DNA contaminant was removed by TURBO-DNA-free kit(Ambion). Reverse transcription was performed using SuperScriptIII kit(Invitrogen) with oligo-dT as primer. Negative control reactions thatomitted reverse transcriptase were used to exclude samples contaminatedwith genomic DNA. Real-time PCR was performed with QuantiTect SyBr GreenPCR kit (Qiagen) and the above clag gene-specific primer pairs.Amplification kinetics were followed in the iCycler iQ multicolorreal-time PCR system (Bio-Rad). Serial dilution of parasite genomic DNAwas used to construct the standard curve for each primer pair. rhopH2,rhopH3, and PF7_0073 were used as loading controls. The presented dataare normalized to the total clag3 transcript abundance.

In Vitro Selections of Parasites with Altered ISPA Efficacy

PSAC-mediated osmotic lysis of infected cells in unbuffered 280 mMsorbitol solution containing ISPA compounds was used to select forparasites with altered inhibitor efficacy. This strategy is based onrescue of parasites whose channels are blocked by addition of ISPA; itis analogous to the use of sorbitol in synchronization of parasiteculture (Lambros et al., J. Parasitol., 65:418-20 (1979)). Optimalselection conditions were determined from lysis kinetics and doseresponses. Synchronizations were performed on consecutive days using 30mM incubations of cultures at room temperature with 5 μM ISPA-28 or 4 μMISPA-43. The marked difference in ISPA-28 affinity between channelsassociated with the two clag3 genes yielded rapid selection, typicallywithin 4-6 synchronizations. Additional synchronizations were requiredin reverse selections using ISPA-43, consistent with a relatively modestdifference in affinity.

Polyclonal Antibody Production

DNA sequence encoding the C-terminal 141 amino acids of the Dd2 clag3.1product was cloned into pET-15b vector (Novagen) for over-expression inE. coli. Standard site-directed mutagenesis was used to introduce aC-terminal FLAG epitope tag yielding the final plasmid (pet15b-120w-4B)which encodesNH₂-MGSSHHHHHHSSGGTKKYGYLGEVIAARLSPKDKIMNYVHETNEDIMSNLRRYDMENAFKNKMSTYVDDFAFFDDCGKNEQFLNERCDYCPVIEEVEETQLFTTTGDKNTNKTTEIKKQTSTYIDTEKMNEADSADSDDEKDSDTPDDELMISRFHDYKDDDDK-CO₂H (SEQ ID NO: 61)(clag3.1 product italicized; hexa-histidine and FLAG tags underlined).Recombinant protein was produced in BL21 CodonPlus (DE3) RIL cell line(Agilent Technologies) after transformation with pET-15b-120w-4B andinduction with 0.5 mM IPTG for 3 hours. The recombinant protein washarvested by sonication in the presence of protease inhibitors, bound toNi-NTA Superflow beads (Qiagen), eluted with imidazole under optimizedconditions, and dialyzed. Purity and size were confirmed oncoomassie-stained SDS-PAGE gels prior to submission for standard mouseimmunizations by Precision Antibody (Columbia, Md.), an OLAW certifiedfacility. Antibody titers were >1:100,000 by ELISA.

Protease Susceptibility Studies

Percoll-enriched synchronous trophozoite-infected cells were washed andtreated with 1-2 mg/mL pronase E from Streptomyces griseus (SigmaAldrich) at 5% hematocrit in PBS supplemented with 0.6 mM CaCl₂ and 1 mMMgCl₂ for 1 h at 37° C. Reactions were terminated by addition of 20volumes of ice cold PBS with protease inhibitors (1 mM PMSF, 2 μg/mLpepstatin, and 2 μg/mL leupeptin) and exhaustive washing. Effectivenessof the protease treatment and the block by protease inhibitors wasevaluated by examining PSAC activity with sorbitol uptake measurements.Protease accessibility to erythrocyte cytosol was examined by measuringhemoglobin band intensity in coomassie-stained SDS-PAGE gels of totalcell lysate. Band intensity was quantified with ImageJ software(http://rsbweb.nih.gov/) and revealed no detectable hemoglobindegradation (mean of 99±2% relative to untreated controls, n=7 separatetrials).

Membrane Fractionation

Infected cells, with or without prior protease treatment, were hemolysedin 40 volumes of lysis buffer (7.5 mM Na₂HPO₄, 1 mM EDTA, pH 7.5) withprotease inhibitors and ultracentrifuged (70,000×g, 4° C., 1 h). Thesupernatant was collected as the ‘soluble’ fraction before resuspendingthe pellet in 100 mM Na₂CO₃, pH 11 at 4° C. for 30 min beforecentrifugation (70,000×g). The “carbonate extract” supernatant wasneutralized with 1/10 volume 1 M HCl. The final pellet was washed withlysis buffer before solubilization as the “membrane” fraction in 2% SDS.

Immunofluorescence Confocal Microscopy

Synchronous parasite cultures were washed and used to make thin smearson glass slides. The cells were air dried prior to fixation in 100%methanol (ice-cold for merozoites and RT for trophozoites) for 5 min.After incubation in 10% Goat Serum Blocking Solution (Invitrogen) with0.1% Triton X-100, primary antibody against the clag3 recombinantprotein and secondary antibody (Alexa Fluor 488 goat anti-mouse IgG,Invitrogen) were applied in the same buffer at 1:50 and 1:500 dilution,respectively with thorough washing between antibodies. Nuclei werestained with Hoechst 33342 before mounting in Fluoromount-G(SouthernBiotech). Dual color fluorescence images were taken on a LeicaSP2 confocal microscope under a 100× oil immersion objective with serial405 nm and 488 nm excitations. Images were processed in Imaris 6.0(Bitplane AG) and uniformly deconvolved using Huygens Essential 3.1(Scientific Volume Imaging By).

Immunoblots

Protein samples were denatured and reduced in NuPAGE® LDS Sample Buffer(Invitrogen) with 100 mM DTT and run on NuPAGE® Novex 4-12% Bis-Trisgels in MES Buffer (Invitrogen), and transferred to nitrocellulosemembrane. After blocking (3% fat-free milk in 150 mM NaCl, 20 mMTrisHCl, pH 7.4 with 0.1% Tween20), anti-recombinant clag3 product oranti-FLAG (Cell Signalling Technology), was applied at 1:3000 dilutionin blocking buffer. After washing, binding was detected withHRP-conjugated secondary antibodies (Pierce) at 1:3000 dilution andchemiluminescent substrate (Immobilon, Millipore or SuperSignal WestPico, Pierce).

Computational Analyses

Phylogenetic analysis of clag products and the more distantly relatedRONs was conducted using an approximately-maximum-likelihood methodimplemented in the FastTree 2.1 program under default parameters (Priceet al., Mol. Biol. Evol., 26: 1641-50 (2009)). Transmembrane domainswere predicted using the TMHMM and Phobius programs (Krogh et al., J.Mol. Biol., 305: 657-80 (2001); Kall et al., Bioinformatics, 21 Suppl.1: i251-57 (2005)). Improved confidence in transmembrane domainprediction was achieved by inputting multiple alignments of group 2 clagproducts from several plasmodial species in the PolyPhobius mode.

Example 1

This example demonstrates the activity of compounds according toformulas (1a) and (2a) below against PSAC. This example alsodemonstrates the in vitro growth inhibitory activity of compounds (1a)and (2a) in nutrient-rich RPMI and PSAC-limiting medium (PLM). Thecompounds of formulas (1a) and (2a) are in accordance with an embodimentof the invention.

The concentration of a chemical inhibitor required to produce 50% blockof PSAC-mediated solute uptake, K_(0.5) for PSAC block (Table 4), wasmeasured as described previously (Biophysical J. 84:116-23, 2003). Thechemical inhibitors included:

Briefly, P. falciparum trophozoites were obtained by in vitro culture inhuman erythrocytes, enriched by density gradient centrifugation, andused in a continuous light-scattering osmotic lysis assay in sorbitollysis solution (in mM: 280 sorbitol, 20 Na-HEPES, 0.1 mg/ml BSA, pH7.4). In this assay, increases in transmittance (% T, measured at 700nm) correlated directly to lysis of infected RBCs and were plotted inarbitrary units. Uninfected RBCs lacked PSAC activity and hadundetectably low sorbitol permeability. Uptake of other nutrient solutesand patch-clamp methods confirmed that this transmittance assay providesa quantitative measure of PSAC inhibition by compounds (1a) and (2a).The PSAC inhibitors of compounds (1a) and (2a) represent a novelstrategy for intervention against malaria parasites because currentlyapproved antimalarial drugs (artemisinin, mefloquine, and chloroquine)did not inhibit PSAC activity (Table 4).

In vitro parasite killing by PSAC inhibitors was quantified using a SYBRGreen I-based fluorescence assay for parasite nucleic acid in 96-wellformat. Parasite cultures were synchronized by incubation in 5%D-sorbitol before seeding at 1% parasitemia and 2% hematocrit instandard media for parasite cultivation (RPMI 1640 supplemented with 25mM HEPES, 50 mg/L hypoxanthine, and 10% regular serum) or inPSAC-limiting medium (PLM, a novel medium based on the RPMI 1640formulation but with reduced concentrations of isoleucine, glutamine,and hypoxanthine, three nutrients whose uptake by infected cells isprimarily via PSAC). While RPMI 1640 contained supraphysiologicalconcentrations of these nutrients, the values in PLM were closer tothose measured in plasma from healthy human donors.

Cultures were maintained for 3 days at 37° C. in 5% O₂, 5% CO₂ withoutmedia change. After this incubation, Sybr Green I was added in 20 mMTris, 10 mM EDTA, 0.016% saponin, 1.6% triton X100. Subsequentfluorescence measurements (excitation/emission at 485/528 nm) permittedquantification of parasite growth because the fluorescence of Sybr Green1 was a measure of parasite nucleic acid content. Table 4 shows theconcentration of each PSAC inhibitor (compounds of formulas (1a) or(2a)) or control antimalarial drug (artemisinin, mefloquine, orchloroquine) required to produce a 50% reduction in parasite survival inRPMI 1640 (RPMI IC₅₀) or PLM (PLM IC₅₀). Improved killing by PSACinhibitors (compounds of formulas (1a) and (2a)) upon testing in PLMindicated that the PSAC inhibitors may have a novel mechanism ofparasite killing. These data supported a role of PSAC in parasitenutrient acquisition because nutrient limitation improved PSAC inhibitorefficacy, but did not significantly alter killing by artemisinin,mefloquine, or chloroquine (see Ratio of IC₅₀ (RPMI/PLM)).

TABLE 4 K_(0.5) for PSAC RPMI PLM IC₅₀, Ratio Structure MW clogP block,nM IC₅₀, μM μM (RPMI/PLM) Compound of 431 3.5  3 1.5 0.0023 800 formula(1a) Compound of 486 5.3 10 >30 0.3 >100 formula (2a) Artemisinin 2822.7 inactive 0.018 0.026 0.66 Mefloquine 378 3.7 inactive 0.022 0.0330.66 Chloroquine 319 5.1 inactive 0.22 0.34 0.67

Example 2

This example demonstrates the identification of isolate-specificinhibitors, which effectively inhibit PSAC activity associated with aspecific parasite line. This example also demonstrates that an inhibitorin accordance with the invention interacts directly with PSAC.

A search for small molecule inhibitors with differing efficacies againstchannels induced by divergent parasite lines was performed. Suchinhibitors presumably bind to one or more variable sites on the channel,which may result either from polymorphisms in a parasite channel gene orfrom differing activation of human channels. To find these inhibitors, atransmittance-based assay that tracks osmotic lysis of infected cells insorbitol, a sugar alcohol with increased permeability after infectionwas used (Wagner et al., Biophys. J., 84: 116-23 (2003)). This assay hadbeen adapted to 384-well format and used to find high affinity PSACinhibitors (Pillai et al., Mol. Pharmacol., 77: 724-33 (2010)). Here,this format was used to screen a library of compounds againsterythrocytes infected with the HB3 and Dd2 P. falciparum lines. Tomaximize detection of hits, a low stringency was chosen in the screensby using library compounds at a high concentration (10 μM) and byreading each microplate at multiple timepoints (Pillai et al., Mol.Pharmacol., 77: 724-33 (2010)). 8% of compounds met or exceeded thethreshold of 50% normalized block at 2 h [%B=100*(A_(cpd)−Ā_(neg))/(Ā_(pos)−Ā_(neg))], consistent with a lowscreening stringency. A weighted difference statistic (WDS) was definedthat normalized measured differences in efficacy against HB3 and Dd2channels to the standard deviation of positive control wells in eachmicroplate [WDS=|% B_(HB3)−% B_(Dd2)|/(3*σ_(pos))]. 86% of all compoundsproduced indistinguishable effects on the two parasite lines (WDS≦1.0).Thus, most inhibitor binding sites were conserved.

Nevertheless, a small number of compounds produced significantlydiffering activities in the two screens. One such inhibitor, namedISPA-28 (for isolate-specific PSAC antagonist based on studies describedbelow, Formula A below), was reproducibly more effective at inhibitingsorbitol uptake by Dd2- than HB3-infected cells. Secondary studies withISPA-28 revealed an ˜800-fold difference in half-maximal affinities(K_(0.5) values of 56±5 nM vs. 43±2 μM for Dd2 and HB3, respectively;P<10⁻¹⁰).

ISPA-28 effects on uptake of the amino acids alanine and proline as wellas the organic cation phenyl-trimethylammonium (PhTMA), solutes withknown increases in permeability after infection (Ginsburg et al., Mol.Biochem. Parasitol. 14: 313-22 (1985); Bokhari et al., J. Membr. Biol.226: 27-34 (2008)), were also examined. Each solute's permeability wasinhibited with dose responses matching those for sorbitol. Without beingbound by a particular theory or mechanism, it is believed that thesedata provide evidence for a single shared transport mechanism used bythese diverse solutes.

22 different laboratory parasite lines were next tested and significanttransport inhibition was found with only Dd2 and W2. Because Dd2 wasgenerated by prolonged drug selections starting with W2 (Wellems et al.,Nature, 345: 253-55 (1990)), their channels' distinctive ISPA-28affinities suggested a stable heritable element in the parasite genome.

To explore the mechanism of ISPA-28 block, patch-clamp of infectederythrocytes was performed. Using the whole-cell configuration, similarcurrents on HB3- and Dd2-infected cells in experiments without knowninhibitors were observed. These currents exhibited inward rectification.Previous studies determined that they were carried primarily by anionswith a permeability rank order of SCN⁻>I⁻>Br⁻>Cl⁻ (Desai et al., Nature,406: 1001-05 (2000)). 10 μM ISPA-28 reduced these currents, but had asignificantly greater effect on Dd2-infected cells. In the cell-attachedconfiguration with 1.1 M Cl⁻ as the charge carrier, ion channel activitycharacteristic of PSAC was detected on both lines (˜20 pS slopeconductance with fast flickering gating, (Alkhalil et al., Blood, 104:4279-86 (2004)); without inhibitor, channels from the two lines wereindistinguishable. However, recordings with 10 μM ISPA-28 revealed amarked difference as Dd2 channels were near-fully inhibited whereas HB3channels were largely unaffected. Thus, this compound's effects onsingle PSAC recordings parallel those on uptake of sorbitol and otherorganic solutes.

Closed durations from extended recordings were analyzed and it wasdetermined that ISPA-28 imposed a distinct population of long blockevents, but only in recordings on Dd2-infected cells. At the same time,intrinsic channel closings, which occur in the absence of inhibitor,were conserved on both parasites and were not affected by ISPA-28.

Example 3

This example demonstrates the inheritance of ISPA-28 efficacy in aDd2×HB3 genetic cross and that piggyback-mediated complementationsimplicate clag 3.1 and clag 3.2 in PSAC activity.

ISPA-28 efficacy against PSAC activity on red blood cells infected withrecombinant progeny clones from the Dd2×HB3 genetic cross (Wellems etal., Nature, 345: 253-255 (1990)) was next examined. For each clone,sorbitol uptake was examined in the absence and presence of 7 μMISPA-28, a concentration that optimally distinguishes the parentalchannel phenotypes, and quantified inhibition [%B=100*(A_(cpd)−Ā_(neg))/(Ā_(pos)−Ā_(neg))]. Although a few of the 34independent progeny clones exhibited intermediate channel inhibition,most resembled one or the other parent. Quantitative trait locus (QTL)analysis was used to search for associations between ISPA-28 efficacyand inheritance of available microsatellite markers. A primary scanidentified a single significant peak having a logarithm of odds (LOD)score of 12.6 at the proximal end of chromosome 3. A secondary scan forresidual effects did not find additional peaks reaching statisticalsignificance.

The mapped locus contained 42 predicted genes. Although none hadhomology to classical ion channels from other organisms, many wereconserved in other plasmodia, as expected for the responsible gene(s)from conservation of PSAC activity in malaria parasites (Lisk et al.,Eukaryot. Cell, 4: 2153-59 (2005)). The mapped region was enriched ingenes encoding proteins destined for export to host cytosol (P<10⁻⁴ bysimulation), as typical of apicomplexan subtelomeric regions. Some ofthe encoded proteins had one or more predicted transmembrane domains asusually involved in channel pore formation, but this criterion may misssome transport proteins. The PEXEL motif, which directs parasiteproteins to the host cell (Marti et al., Science, 306: 1930-33 (2004)),was present in some genes, but this module is not universally requiredfor export (Spielman et al., Trends Parasitol. 26: 6-10 (2010)). Thus,computational analyses suggested several candidates, but could notspecifically implicate any as ion channel components.

A DNA transfection approach was chosen and piggyBac transposase waschosen to complement Dd2 parasites with the HB3 allele of individualcandidate genes (Balu et al., PNAS, 102: 16391-96 (2005)). With thismethod, successfully transfected parasites will carry both parentalalleles and therefore be merodiploid for candidate genes. Nevertheless,the marked difference in ISPA-28 efficacy between the parental lineswould be expected to produce a detectable change in transport phenotypeupon complementation with the responsible gene. The high efficiency ofrandom integration conferred by piggyBac permits rapid examination ofmany genes (Balu et al., BMC Microbiol., 9: 83 (2009)).

Fourteen genes were cloned with their endogenous 5′ and 3′ UTR regionsfrom the HB3 parent into the pXL-BacII-DHFR plasmid; a 15^(th) constructcontaining a conserved but not annotated open reading frame (ORF 147 kb)was also prepared. Each was transfected individually along with a helperplasmid encoding the transposase into Dd2 parasites. Selection for hDHFRexpression yielded parasites that stably carried both Dd2 and HB3alleles for each candidate. Because an altered channel phenotypepresumably requires expression of the HB3 allele, reverse transcriptasePCR was used to amplify polymorphic regions of each gene and theamplicons were sequenced to determine if both parental alleles weretranscribed; this approach confirmed expression of 12 candidates.ISPA-28 dose responses for inhibition of sorbitol uptake by erythrocytesinfected with each transfectant were performed. Two transfectants,expressing HB3 alleles for PFC0110w (clag 3.2) and PFC0120w (clag 3.1),produced significant changes in ISPA-28 efficacy with K_(0.5) valuesbetween those of Dd2 and HB3, as expected for cells carrying channelsfrom both parental lines (P=0.01 and P<10⁻⁷ in comparison to Dd2,respectively). Limiting dilution cloning of the PFC0120w transfectantyielded a clone, Dd2-pB120w, which had undergone at least oneintegration event; its ISPA-28 K_(0.5) was indistinguishable from thetransfection pool. For both genes, quantitative analyses suggestedrelatively low level expression of the HB3 allele because thetransfectant K_(0.5) values (95±8 and 140±12 nM) were closer to those ofDd2 than of HB3. Without being bound by a particular theory ormechanism, it is believed that expression levels of the two parentalalleles may be influenced by the genomic environment of the integrationsite, relative promoter efficiencies, and a gene silencing mechanismexamined below.

Example 4

This example confirms a role for clag 3.1. and clag 3.2 in PSACactivity. This example also demonstrates that clag3 gene silencing andswitched expression determine inhibitor affinity.

To examine the unexpected possibility that clag3 products contribute toPSAC activity, an allelic exchange strategy was used to transfer potentISPA-28 block from the Dd2 line to HB3 parasites. Because Dd2 parasitesexpress clag3.1 but not clag3.2 (Kaneko et al., Mol. Biochem.Parasitol., 143: 20-28 (2005)), their clag3.1 gene presumably encodeshigh ISPA-28 affinity. Therefore, a transfection plasmid was constructedcarrying a 3.2 kb fragment from the 3′ end of the Dd2 clag3.1 allele, anin-frame C-terminal FLAG tag followed by a stop codon, and the fragmentgene's 3′ untranslated region (pHD22Y-120w-flag-PG1). Because thisplasmid carries only a gene fragment and lacks a leader sequence todrive expression, an altered transport phenotype requires recombinationinto the parasite genome. HB3 was transfected with this plasmid and PCRwas used to screen for integration into each of the five endogenous claggenes. This approach detected recombination into the HB3 clag3.2 gene;limiting dilution cloning yielded HB3^(3rec), a clone carrying a singlesite integration event without residual episomal plasmid. DNA sequencingindicated recombination between single nucleotide polymorphisms at 3718and 4011 bp from the HB3 clag3.2 start codon. This recombination sitecorresponded to successful transfer of downstream polymorphismsincluding a recognized hypervariable region at 4266-4415 bp;contamination with other laboratory parasite lines was excluded byfingerprinting.

PSAC activity on HB3^(3rec) exhibited a marked increase in ISPA-28efficacy (FIG. 1), further supporting a role for clag3 genes in sorbitoland nutrient uptake. Although this allelic exchange strategy yielded agene replacement in contrast to the complementations achieved withpiggyBac, the channel's ISPA-28 affinity was again intermediate betweenthose of HB3 and Dd2 (FIG. 2). Without being bound by a particular themor mechanism, it is believed that several mechanisms may contribute tothe quantitatively incomplete transfer of inhibitor affinity. First, twoor more polymorphic sites on the protein might contribute to ISPA-28binding. If some of these sites are upstream from the recombinationevent, the resulting chimeric protein may have functional propertiesdistinct from those of either parental line. Second, the channel maycontain additional unidentified subunits; here, transfection to replaceeach contributing HB3 gene with Dd2 alleles might be required to matchthe ISPA-28 affinity of Dd2. Finally, in addition to the chimericclag3.2_(HB3)-3.1_(Dd2) gene produced by transfection, HB3^(3rec) alsocarries the clag3.1 gene endogenous to HB3 parasites. Expression of bothparalogs could also produce an intermediate ISPA-28 affinity.

To explore these possibilities, a cell-attached patch-clamp wasperformed on HB3^(3rec)-infected cells. Individual channel moleculesexhibiting ISPA-28 potencies matching those of each parental line wereidentified. These recordings excluded scenarios that require ahomogenous population of channels.

In addition to the complex behavior of HB3^(3rec), it was noticed thatcertain progeny from the genetic cross had lower ISPA-28 affinity thanDd2 despite inheriting the mapped chromosome 3 locus fully from the Dd2parent. Because subtelomeric multigene families in P. falciparum aresusceptible to recombination and frequent gene conversion events(Freitas-Junior et al., Nature, 407: 1018-22 (2000)), both clag3paralogs and neighboring genomic DNA from 7C20 and Dd2 were sequencedbut no DNA-level differences were found. Epigenetic mechanisms that mayinfluence ISPA-28 affinity were therefore considered. clag3.1 andclag3.2 have been reported to undergo mutually exclusive expression(Cortes et al., PLoS Pathog., 3: e107 (2007)). Monoallelic expressionand switching, also documented for other gene families in P. falciparum(Chen et al. Nature, 394: 392-95 (1998); Lavazec et al., Mol.Microbiol., 64: 1621-34 (2007)), allow individual parasites to express asingle member of a multigene family. Daughter parasites resulting fromasexual reproduction continue exclusive expression of the same genethrough incompletely understood epigenetic mechanisms (Howitt et al.,Mol. Microbiol., 73: 1171-85 (2009)). After a few generations, somedaughters may switch to expression of another member of the gene family,affording diversity that contributes to immune evasion (Sherf et al.,Annu. Rev. Microbiol., 62: 445-70 (2008)).

Reverse transcriptase PCR was performed and it was found that Dd2expresses clag3.1 almost exclusively while the three discordant progenyexpress clag3.2 at measurable levels, suggesting epigenetic regulation.Selective pressure was therefore applied to progeny cultures withosmotic lysis in sorbitol solutions containing ISPA-28. Inclusion ofISPA-28 preferentially spares infected cells whose channels have highinhibitor affinity: these cells incur less sorbitol uptake and do notlyse. These selections, applied on multiple consecutive days, yieldedmarked reductions in parasitemia. Surviving parasites exhibited improvedISPA-28 affinity quantitatively matching that of the Dd2 parent.Identical selections applied to HB3 and three progeny inheriting itschromosome 3 locus did not change ISPA-28 affinity, excluding effects ofthe selections on unrelated genomic sites.

Real time qPCR using primers specific for each of the 5 clag genesrevealed that selection with sorbitol and ISPA-28 reproducibly increasedclag3.1 expression while decreasing that of clag3.2 in progenyinheriting the Dd2 locus. Selections applied to the parental HB3 linewere without effect, consistent with its unchanged inhibitor affinity.These selections did not alter relative expression of other paralogs(clag2, clag8, and clag9).

Selections were also applied to HB3^(3rec), which carries a chimericclag3.2_(HB3)-3.1_(Dd2) transgene and the clag3.1 gene native to HB3. Incontrast to the lack of effect on the isogenic HB3 line, thesesynchronizations increased the transfectant's ISPA-28 affinity to aK_(0.5) of 51±9 nM, matching that of Dd2 channels. This change inchannel phenotype correlated with a near exclusive expression of thetransgene, confirming that expression of HB3 clag3.1 by a subset ofcells accounts for the intermediate ISPA-28 affinity. These findingsalso delimit the determinants of ISPA-28 binding to polymorphic siteswithin the Dd2 clag3.1 gene fragment transferred to HB3^(3rec).

Without being bound to a particular theory or mechanism, it is believedthat expression switching in P. falciparum multigene families occursover several generations and should lead to a drift in populationphenotype. After selection of the chimeric gene in HB3^(3rec), continuedin vitro propagation yielded a gradual decay in ISPA-28 affinity thatcorrelated with decreasing transgene expression. As with other multigenefamilies (Lavazec et al., Mol. Microbiol., 64: 1621-34 (2007)), severalfactors may affect the steady-state ISPA-28 affinity and relativeexpression levels for the two clag3 genes upon continued culture withoutselective pressure.

Example 5

This example demonstrates reverse selection with ISPA-43 and a clag3mutation in a leupeptin-resistant PSAC mutant.

A PSAC inhibitor with reversed specificity for the two Dd2 clag3products was next sought. To this end, hits from the high-throughputscreen of Example 2 were surveyed using the progeny clone 7C20 beforeand after selection for clag3.1 expression. This secondary screenidentified ISPA-43 as a PSAC inhibitor with an allele specificityopposite that of ISPA-28 (Formula B below (K_(0.5) of 32 and 3.9 μM forchannels associated with clag3.1 and clag3.2 genes from Dd2,respectively).

A stable parasite mutant with altered PSAC selectivity, gating, andpharmacology was recently generated by in vitro selection of HB3 withleupeptin (Lisk et al., Antimicrob. Agents Chemother., 52: 2346-54(2008)). Clag3 genes were sequenced from this mutant, HB3-leuR1, andidentified a point mutation within its clag3.2 gene that changes theconserved A1210 to a threonine, consistent with a central role of clag3genes in solute uptake. HB3-leuR1 silences its unmodified clag33 andpreferentially expresses the mutated clag3.2 (expression ratio of19.2±1.5), as required for a direct effect on PSAC behavior. Becausethis mutation is within a predicted transmembrane domain, it maydirectly account for the observed changes in channel gating andselectivity.

Sorbitol synchronizations with 4 μM ISPA-43 were then applied to theclag3.1-expressing 7C20 culture and achieved robust reverse selection:the surviving parasites exhibited both low ISPA-28 affinity and areversed clag3 expression profile. Thus, inhibitors can be used inpurifying selections of either clag3 gene. Because ISPA-28 affinity canbe reduced either through drift without selective pressure or byselection for the alternate paralog with an inhibitor having reversedspecificity, these studies alleviate concerns about indirect effects ofexposure to sorbitol or individual inhibitors.

A stable parasite mutant with altered PSAC selectivity, gating, andpharmacology was recently generated by in vitro selection of HB3 withleupeptin (Lisk et al., Antimicrob. Agents Chemother., 52: 2346-54(2008)). Clag3 genes from this mutant, HB3-leuR1, were sequenced and apoint mutation was identified within its clag3.2 gene that changed theconserved A1210 to a threonine, consistent with a central role of clag3genes in solute uptake. HB3-leuR1 silenced its unmodified clag3. andpreferentially expressed the mutated clag3.2 (expression ratio of19.2±1.5), as required for a direct effect on PSAC behavior. Withoutbeing bound by a particular theory or mechanism, it is believed thatbecause this mutation is within a predicted transmembrane domain, it maydirectly account for the observed changes in channel gating andselectivity.

Example 6

This example demonstrates that clag3 products are exposed at the hosterythrocyte surface.

To directly contribute to PSAC activity, it is believed that at leastsome of the clag3 product would associate with the host membrane,presumably as an integral membrane protein. Polyclonal antibodies weretherefore raised to a carboxy-terminal recombinant fragment conservedbetween the two clag3 products. Confocal microscopy with this antibodyconfirmed reports localizing these proteins to the host cytosol andpossibly the erythrocyte membrane as well as within rhoptries ofinvasive merozoites (Vincensini et al., Mol. Biochem. Parasitol., 160:81-89 (2008)). To obtain more conclusive evidence, immunoblotting wasused to examine susceptibility of these proteins to extracellularprotease. Without protease treatment, a single ˜160 kDa band wasdetected in whole-cell lysates, consistent with the expected size ofclag3 products. Treatment with pronase E under conditions designed toprevent digestion of intracellular proteins reduced the amount of thefull-length protein and revealed a 35 kDa hydrolysis fragment. Incontrast, a monoclonal antibody against KAHRP, a parasite protein thatinteracts with the host membrane cytoskeleton but is not exposed(Kilejian et al., Mol. Biochem. Parasitol., 44: 175-81 (1991)),confirmed that intracellular proteins are resistant to hydrolysis underthese conditions. As reported for another protease (Baumeister et al.,Mol. Microbiol., 60: 493-04 (2006)), pronase E treatment significantlyreduced PSAC-mediated sorbitol uptake; this effect was sensitive toprotease inhibitors, suggesting that proteolysis at one or more exposedsites interferes with transport.

Ultracentrifugation of infected cell lysates revealed that the clag3product is fully membrane-associated; a fraction could however beliberated by treatment with Na₂CO₃, which strips membranes of peripheralproteins (Fujiki et al., J. Cell Biol., 93: 97-102 (1982)). Because thisfraction was protease insensitive, it reflects an intracellular pool ofclag3 product loosely associated with membranes. The C-terminalhydrolysis fragment was present only in the carbonate-resistantinsoluble fraction, indicating an integral membrane protein.

Because the polyclonal antibodies might cross-react with clag productsfrom other chromosomes, protease sensitivity was next examined inHB3^(3rec), whose chimeric clag3 transgene encodes a C-terminal FLAGtag. Anti-FLAG antibody recognized a single integral membrane protein inHB3^(3rec) and no proteins from the parental HB3 line, indicatingspecificity for the recombinant gene product. Treatment with pronase Eprior to cell lysis and fractionation revealed a hydrolysis fragmentindistinguishable from that seen with the antibody raised against thenative protein's C-terminus.

The following procedures were followed for the experiments described inExamples 7-10

Parasite Cultivation, Design of PLM, and Growth Inhibition Studies

Asexual stage P. falciparum laboratory lines were propagated by standardmethods in RPMI 1640 supplemented with 25 mM HEPES, 31 mM NaHCO₃, 0.37mM hypoxanthine, 10 μg/mL gentamicin, and 10% pooled human serum. PLM isbased on this standard medium and was designed after surveying parasitegrowth in media lacking individual constituents with known PSACpermeability: hypoxanthine, calcium panthothenate, and the amino acidsCys, Glu, Gln, Ile, Met, Pro, and Tyr (Saliba et al., J. Biol. Chem.,273: 10190-10195 (1998)). PLM contained reduced concentrations ofisoleucine (11.4 μM), glutamine (102 μM), and hypoxanthine (3.01 μM);human serum was exhaustively dialyzed against distilled H₂O prior tosupplementation in this medium.

Growth inhibition experiments were quantified using a SYBR Green I-basedfluorescence assay for parasite nucleic acid in 96-well format, asdescribed previously (Pillai et al., Mol. Pharmacol., 77: 724-733(2010)). Ring-stage synchronized cultures were seeded at 1% parasitemiaand 2% hematocrit in standard medium or PLM and maintained for 72 h at37° C. in 5% O₂, 5% CO₂ without media change. Cultures were then lysedin 20 mM Tris, 10 mM EDTA, 0.016% saponin, and 1.6% triton X100, pH 7.5with SYBR Green I at twice the manufacture's recommended concentration(Invitrogen, Carlsbad, Calif.). After a 45 min incubation, parasite DNAcontent was quantified by measuring fluorescence (excitation/emissionwavelengths, 485/528 nm). For each inhibitor concentration, the mean oftriplicate measurements was calculated after subtraction of backgroundfluorescence from matched cultures killed by 20 μM chloroquine. Growthinhibition studies with the HB3^(rec) parasite were performed aftertransport-based selection with ISPA-28 to achieve expression of thechimeric clag3 gene generated by allelic exchange transfection.

Transport Inhibition Assays

Inhibitor affinity for PSAC block was determined using a quantitativetransmittance assay based on osmotic lysis of infected cells in sorbitol(Wagner et al., Biophys. J., 84: 116-123 (2003)). Parasite cultures wereenriched at the trophozoite stage using the Percoll-sorbitol method,washed, and resuspended at 37° C. and 0.15% hematocrit in 280 mMsorbitol, 20 mM Na-HEPES, 0.1 mg/ml BSA, pH 7.4 with indicatedconcentrations of inhibitors. PSAC-mediated sorbitol uptake producesosmotic lysis, which was continuously tracked by measuring transmittanceof 700 nm light through the cell suspension (DU640 spectrophotometerwith Peltier temperature control, Beckman Coulter). Inhibitor doseresponses were calculated from the time required to reach fractionallysis thresholds. ISPA-28 dose responses were fitted to the sum of twoLangmuir isotherms (Eq/S1). Other inhibitors had dose responses that areadequately fitted by a single Langmuir isotherm.

To examine possible inhibitor metabolism in parasite culture, Dd2parasites were cultivated in standard media with 40 μM ISPA-28 at 37° C.for 72 h. After centrifugation, the culture supernatant was used as asource of ISPA-28 for comparison to freshly-prepared compound intransport inhibition studies.

QTL Analysis

We sought genetic loci associated with ISPA-28 growth inhibitoryefficacy in the Dd2×HB3 genetic cross (Wellems et al., Nature, 345:253-255 (1990)) using 448 previously selected polymorphic markers thatdistinguish the Dd2 and HB3 parental lines (Nguitragool et al., Cell,145: 665-677 (2011)). QTL analysis was performed using R/qtl software(freely available at http://www.rqtl.org/) as described (Broman et al.,Bioinformatics, 19: 889-890 (2003)) and conditions suitable for thehaploid asexual parasite. A P=0.5 significance threshold was estimatedwith permutation analysis. Growth inhibition data at 0.3 and 10 μMISPA-28 identified the same locus reported with 3 μM ISPA-28. AdditionalQTL were sought with secondary scans by controlling for the clag3 locus.

Quantitative RT-PCR

Two-step real-time PCR was used to quantify clag gene expression usingallele-specific primers developed previously (Nguitragool et al., Cell,145: 665-677 (2011)). RNA was harvested from schizont-stage cultureswith TRIzol reagent (Invitrogen), treated with DNase to remove residualgenomic DNA contaminant, and used for reverse transcription(SuperScriptIII and oligo-dT priming, Invitrogen). Negative controlreactions without reverse transcriptase confirmed there was no genomicDNA contamination. Real-time PCR was performed with QuantiTect SyBrGreen PCR kit (Qiagen), the iCycler iQ multicolor real-time PCR system(Bio-Rad), and clag gene-specific primers. Serial dilution of parasitegenomic DNA was used to construct the standard curve for each primerpair. PF7_0073 was used as a loading control as it is constitutivelyexpressed. Transcript abundance for each clag gene was then determinedfrom amplification kinetics.

PCR Studies for clag3 Recombination

The clag3 locus of Dd2-PLM28 was characterized with genomic DNA andallele-specific primers: 3.1f (5′-GTGCAATATATCAAAGTGTACATGCA-3′) (SEQ IDNO: 68), 3.1r (5′-AAGAAAATAAATGCAAAACAAGTTAGA-3′) (SEQ ID NO: 69), 3.2f(5′-GTTGAGTACGCACTAATATGTCAATTTG-3′) (SEQ ID NO: 41), and 3.2r(5′-AACCATAACATTATCATATATGTTAATTACAC-3′) (SEQ ID NO: 42). cDNA preparedfrom schizontstage cultures was also used with these primers to examineexpression of both native and chimeric clag3 genes.

Southern Blot

A clag3-specific probe was prepared by PCR amplification from Dd2genomic DNA using 5′-ATTTACAAACAAAGAAGCTCAAGAGGA-3′ (SEQ ID NO: 70) and5′-TTTTCTATATCTTCATTTTCTTTAATTGTTC-3′ (SEQ ID NO: 71) in the presence ofDigoxygenin (DIG)-dUTP (Roche). Probe specificity was confirmed byblotting against full-length PCR amplicons of the five clag genesgenerated from Dd2 genomic DNA with primers.

Genomic DNA was digested with indicated restriction enzymes (New EnglandBioLabs), subjected to electrophoresis in 0.7% agarose, aciddepurinated, transferred and crosslinked to Nylon membranes. The blotwas then hybridized overnight at 39° C. with the above DIG-labeled probein DIG Easy Hyb (Roche), and washed with low and high stringency buffers(2×SSC, 0.1% SDS, 23° C. followed by 1×SSC, 0.5% SDS, 50° C.) prior toDIG immunodetection according to the manufacturer's instructions.

Mammalian Cytotoxicity

Cytotoxicity of PSAC inhibitors was measured with human HeLa cells(ATCC# CLL-2) in 96-well plates at 4000 cells/well. Cultures wereincubated with each inhibitor at 37° C. for 72 h in Minimal EssentialMedium (Gibco/Invitrogen, Carlsbad, Calif.) supplemented with 10% fetalcalf serum. Cell viability was quantified using the vital stain MTS[3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethonyphenol)-2-(4-sulfophenyl)-2H-tetrazolium,inner salt], as described (Marshall et al., Growth Regul., 5: 69-84(1995)). The reported CC₅₀ value is the concentration of an inhibitorthat reduces conversion of MTS to formazan by 50%.

Example 7

This example demonstrates that ISPA-28 kills Dd2 cells in vitro whennutrient availability in the media is reduced.

ISPA-28 blocks PSAC on Dd2-infected cells with high affinity and hasonly weak activity against channels from HB3 parasites (K_(0.5) of 56±5nM and 43±2 μM, respectively) (Nguitragool et al., Cell, 145: 665-677(2011)). If channel activity serves a role in the growth of theintracellular parasite, this small molecule inhibitor would be expectedto interfere with propagation of Dd2 cultures but spare those of HB3.The initial in vitro parasite growth studies revealed an insignificantdifference with both parasite lines exhibiting sustained growth inRPMI-based media despite high ISPA-28 concentrations (IC₅₀ values >40 μMeach, P=0.35 for a difference).

It was determined that ISPA-28 efficacy against Dd2 channels is notcompromised by metabolism of the inhibitor under in vitro cultureconditions. ISPA-28 is also not significantly adsorbed by serum proteinor lipids, a phenomenon known to reduce activity of some PSAC inhibitorsand many therapeutics (Matsuhisa et al., Chem. Engineering J., 34:B21-B27 (1987)). Thus, ISPA-28 does not to inhibit the growth of Dd2parasites under standard in vitro culture conditions.

One possibility is that channel activity is involved in the survival ofmalaria parasites, but that the low level transport remaining in thepresence of inhibitor adequately meets parasite demands under standardin vitro culture conditions. Consistent with this, sustainedchannel-mediated uptake in Dd2-infected erythrocytes even with highISPA-28 concentrations was observed. Significantly less residual uptakewas observed with compound (31), a broad spectrum PSAC inhibitor with acomparable inhibitory K_(0.5) value for Dd2 channels (Pillai et al.,Mol. Pharmacol., 77: 724-733 (2010)). (P<10⁻⁴ for comparison of theseinhibitors at 10 μM). The unexpected difference in residual channelactivity with these inhibitors may account for their differingefficacies against in vitro parasite growth (IC₅₀ values of ˜50 μM and4.7 μM, respectively; Table 5).

TABLE 5 RPMI PLM Transport growth growth Compound inhibition IC₅₀, IC₅₀,IC₅₀ Name Structure K_(0.5), nM μM μM ratio furosemide

2700 >200 21 >9.5 dantrolene

1200 42 3.8 18  (24)

87 23 0.27 114  (25)

33 15 0.17 86 (280)

6 18 0.23 270  (31)

84 4.7 0.41 15  (3) (TP-52)

25 7.3 0.19 38 Cpd 80

44 12.5 0.17 130 Cpd 50

81 >30 2.0 >15 ISG-21

2.6 1.5 0.002 800 chloroquine inactive 0.22 0.34 0.67 mefloquineinactive 0.022 0.033 0.66 artemisinin inactive 0.018 0.026 0.66

Without being bound to a particular theory or mechanism, it is believedthat incomplete block with high ISPA-28 concentrations despite a lowK_(0.5) value for Dd2 channels suggests a complex mechanism ofinhibition. While dantrolene and furosemide dose responses areadequately fitted by the equation that assumes a 1:1 stoichiometry forinhibitor and channel molecules, the ISPA-28 dose response was not wellfit. An improved fit was obtained with a two-component Langmuirequation. Because this two-component equation is compatible with severalpossible mechanisms, the ISPA-28 stoichiometry and precise mode ofchannel block has not yet been determined.

Without being bound by a particular theory or mechanism, it is believedthat if PSAC functions in nutrient acquisition for the intracellularparasite (Desai et al., Nature, 406: 1001-1005 (2000)), then theincomplete inhibition by ISPA-28 may permit adequate nutrient uptake.Many nutrients are present at supraphysiological concentrations in thegeneral purpose RPMI 1640 medium (Sato et al., Curr. Protoc. Cell Biol.,1: Unit 1.2 (2001)). The large inward concentration gradient fornutrients in this medium could sustain parasite nutrient uptake despitenear-complete channel block. Nutrients with PSAC-mediated uptake weresurveyed and isoleucine, glutamine, and hypoxanthine were selectedbecause their isolated removal from media adversely affected parasitecultures. Isoleucine and glutamine dose responses revealed that bothcould be reduced by >90% with negligible effects on propagation ofeither HB3 or Dd2, consistent with nutrient excess in standard media.Threshold concentrations of these amino acids as well as ofhypoxanthine, a purine with high PSAC permeability, were selected (Geroet al., Adv. Exp. Med. Biol., 309A: 169-172 (1991); Asahi et al.,Parasitology, 113: 19-23 (1996)). To reduce the inward gradient fornutrient uptake, a PSAC-limiting medium (PLM) was prepared that usesthese threshold values while following the RPMI 1640 formulation for allother solutes. Without being bound by a particular theory or mechanism,it is believed that the reduced nutrient content of the PLM medium moreclosely mimics the nutrient availability under in vivo physiologicalconditions as compared to RPMI 1640 medium. Both Dd2 and HB3 parasitescould be propagated continuously in PLM (>2 weeks), though at somewhatreduced rates. It was observed that cultures with low parasitemias grewwell in PLM, but that rates decreased with higher parasite burden,consistent with nutrient limitation and competition between infectedcells in culture.

In contrast to the poor ISPA-28 efficacy against parasite growth in thestandard RPMI 1640 medium, studies using PLM revealed potent killing ofDd2 parasites and continued weak activity against HB3 (IC₅₀ values of0.66±0.20 μM and 52±19 μM, respectively; P<10-4; FIG. 3A). Althoughthere is a nonlinear relationship between nutrient uptake and parasitegrowth, these IC₅₀ values are in reasonable agreement with the transportK_(0.5) values for PSAC block by ISPA-28.

Example 8

This example demonstrates the ISPA-28 growth inhibition phenotype in theprogeny of a Dd2×HB3 genetic cross.

Linkage analysis using an independent transport phenotype and thisgenetic cross have recently implicated two clag3 genes from parasitechromosome 3 in PSAC-mediated solute uptake at the host membrane(Nguitragool et al., Cell, 145: 665-677 (2011)). Here, the growthinhibition studies revealed a broad range of ISPA-28 efficacies forprogeny clones, with many progeny resembling one or the other parent.Because HB3 and some progeny had high growth IC₅₀ values that could notbe precisely estimated, linkage analysis was performed using growthinhibition at 3 μM ISPA-28, a concentration that optimally distinguishesthe parental phenotypes (FIG. 3B). This analysis identified a primaryassociation of ISPA-28 growth inhibition with the clag3 locus, providingevidence for a role of this locus in inhibition of both solute transportand parasite killing by ISPA-28. Additional contributing peaks weresought by removing the effects of the clag3 locus; this approach did notidentify other statistically significant genomic loci.

The mapped locus is at the proximal end of the parasite chromosome 3 andcontains approximately 40 genes. To determine whether clag3 genes areresponsible for ISPA-28 mediated killing, growth inhibition studies wereperformed with HB3^(3rec), a parasite clone generated by allelicexchange transfection of HB3 to replace the 3′ end of the native clag3.2gene with the corresponding fragment from the clag3.1 of Dd2. When thischimeric gene is expressed, HB3^(3rec) exhibits high affinity inhibitionby ISPA-28 (K_(0.5) of 51±9 nM, P=0.88 for no difference from Dd2)(Nguitragool et al., Cell, 145: 665-677 (2011)). Here, HB3^(3rec) wasused in growth inhibition studies with PLM and it was found that it issensitive to ISPA-28 at levels matching Dd2. Because HB3^(3rec) isotherwise isogenic with the resistant HB3 line, this finding indicatesthat ISPA-28 kills parasites primarily via action on the clag3 productand associated channel activity. Furthermore, the requirement fornutrient restriction to detect ISPA-28 mediated killing supports a roleof PSAC in parasite nutrient acquisition.

Example 9

This example demonstrates the selection of resistant clag3 allelesthough ISPA-28 mediated killing.

Most laboratory parasite lines carry two copies of clag3 genes, both onthe Watson strand of the chromosome 3 locus. Epigenetic mechanismscontrol expression of these genes with individual parasitespreferentially expressing one of the two alleles. Upon asexualreplication, most daughter parasites continue to express the sameallele, but a few undergo switching and express the other allele. Invim, gene switching is used by malaria parasites and other pathogens toevade host immune responses against crucial surface-exposed antigens.

ISPA-28 was previously used to examine clag3 gene switching (Nguitragoolet al., Cell, 145: 665-677 (2011)). This compound is a potent andspecific inhibitor of channels associated with expression of the Dd2clag3.1 gene; it has little or no activity against channels formed byexpression of Dd2 clag3.2 or of either clag3 in unrelated parasitelines. The ISPA-28 binding site was delimited to the C-terminus of theclag3.1 product; a short hypervariable domain within this region isexposed at the erythrocyte surface and may define the ISPA-28 bindingpocket. ISPA-28 was used to select for cells expressing the Dd2 clag3.1allele through osmotic lysis in solutions containing ISPA-28 andsorbitol, a sugar alcohol with high PSAC permeability. Sorbitol selectsfor this allele because osmotic lysis eliminates infected cells whosechannels are not blocked by ISPA-28. Of note, these selections wereperformed on three progeny clones inheriting the Dd2 clag3 locus, butnot on Dd2 as this parental line already expresses clag3.1 exclusively.These selections were without effect on HB3 or progeny clones thatinherit its clag3 locus because neither of the two HB3 alleles encodeshigh affinity ISPA-28 inhibition.

Here, it was hypothesized that in vitro growth inhibition by ISPA-28 mayalso select for cells expressing individual clag3 genes. Without beingbound by a particular theory or mechanism, it is believed that whilesorbitol-induced osmotic lysis selects for cells that express theISPA-28 sensitive clag3.1, growth inhibition in PLM should favor cellsexpressing the resistant clag3.2 allele because only parasites whosechannels are not blocked by ISPA-28 will meet their nutrient demands.The progeny clone 7C20, which carries the Dd2 clag3 locus and expressesboth alleles in unselected cultures (FIGS. 4A-4B), was examined. Afterselection with osmotic lysis in sorbitol and ISPA-28, survivingparasites had PSAC inhibitor affinity matching the Dd2 parent andpredominantly expressed the clag3.1 allele. The culture was thenpropagated in PLM containing 5 μM ISPA-28 for a total of 10 days;microscopic examination of smears during this treatment revealed nearcomplete sterilization of the culture. Transport studies on parasitessurviving this second treatment revealed a marked reduction in ISPA-28affinity, indicating that in vitro propagation with PSAC inhibitors canbe used to select for altered channel phenotypes. RT-PCR confirmedstrong negative selection against clag3.1 to yield a parasite populationthat preferentially expresses clag3.2. There were also modest changes inexpression of clag genes on other chromosomes, suggesting that theseparalogs may also contribute to PSAC activity. The opposing effects ofISPA-28 on in vitro growth inhibition and on susceptibility totransport-induced osmotic lysis permit purifying selections of eitherclag3 allele and reveal a strict correlation with channel phenotype.

Surprisingly, the Dd2 parental line retains exclusive expression ofclag3.1 in unselected cultures despite being isogenic with 7C20 at theclag3 locus (Nguitragool et al., Cell, 145: 665-677 (2011)). To explorepossible mechanisms, it was sought to select Dd2 parasites expressingthe alternate clag3.2 allele. Transport selection was tried usingosmotic lysis with ISPA-43, a structurally distinct PSAC inhibitor with10-fold higher affinity for channels formed by expression of the Dd2clag3.2 than of clag3.1. Although this approach has been successfullyused to select for 7C20 parasites expressing clag3.2 (Nguitragool etal., Cell, 145: 665-677 (2011), it was insufficient to affect channelphenotype in Dd2 parasites despite repeated selections over 4 months.

Negative selection was attempted with growth inhibition in PLMcontaining ISPA-28. After 2 cycles of drug pressure with 5 μM ISPA-28for a total of 17 days, resistant cells were identified andcharacterized after limiting dilution to obtain the clone Dd2-PLM28.Consistent with killing primarily via PSAC inhibition, transport studiesusing this resistant clone revealed a marked reduction in inhibitoraffinity (FIG. 5A). Although the ISPA-28 dose response quantitativelymatched that of 7C20 parasites after identical PLM-based selection(upper solid line, FIG. 5A), full length clag3.2 transcript was stillundetectable, excluding the simple prediction of gene switching.Spontaneous recombination between the two clag3 genes was considered,and a chimeric clag3 transcript was identified using a forward clag3.1primer and a reverse clag3.2 primer; PCR confirmed that this chimera ispresent in the selected parasite's genome but absent from the originalDd2 line. Southern blotting with a clag3 specific probe detected threediscrete bands in the selected clone but only the expected two bands inunselected Dd2 parasites, implicating a recombination event to producethree clag3 genes in Dd2-PLM28. The size of the new band, ˜16 kb, isconsistent with homologous recombination between clag3.1 and clag3.2 inDd2-PLM28. DNA sequencing indicated that the chimeric gene derives its5′ untranslated region and the first ˜70% of the gene from clag3.1.After a crossover between single nucleotide polymorphisms at 3680 and3965 bp from the start codon, the gene carries the 3′ end of clag3.2.Thus, the chimeric gene is driven by the clag3.1 promoter, but encodes aprotein with the C-terminal variable domain of clag3.2. This alteredC-terminus accounts for the reduced ISPA-28 efficacy against nutrientuptake and, hence, survival of this clone in the selection. Withoutbeing bound by a particular theory or mechanism, it is believed that theproposed homologous recombination also produces a parasite having asingle clag3 gene and high ISPA-28 affinity, but that recombinant is notexpected to survive growth inhibition selection in PLM with ISPA-28.

Quantitative RT-PCR was then used to examine transcription of clag genesin Dd2-PLM28 and found that the chimeric gene is preferentiallyexpressed (8.9±1.3 fold greater than clag3.1, P<0.002). Transport-basedselection in sorbitol with ISPA-28 was used to examine whether Dd2-PLM28can undergo expression switching. This second selection yieldedparasites that express the native clag3.1 almost exclusively (PLM-rev,FIG. 5B). Transport studies revealed an ISPA-28 dose response identicalto that of the original Dd2 line, as expected. Thus, the new chimericclag3 gene can undergo epigenetic silencing and switching with clag3.1.DNA sequencing of the gene's promoter region did not reveal anymutations relative to that of 7C20.

Without being bound by a particular theory or mechanism, it is believedthat recombination between the two clag3 genes occurs with relativeease, consistent with reports of frequent recombination events in theparasite's subtelomeric regions (Freitas-Junior et al., Nature, 407:1018-22 (2000)). It is also believed that such recombination events mayserve to increase diversity in PSAC phenotypes, apparent here asaffording survival of a parasite with three clag3 genes under selectivepressure.

Example 10

This example demonstrates the comparison of growth inhibitory effects ofPSAC inhibitors in PLM and standard media.

Furosemide and dantrolene are known non-specific inhibitors withrelatively low PSAC affinity. These compounds are also adsorbed byserum, but are approved therapeutics in other human diseases. They areonly weakly effective against parasite growth in standard medium, buthave significantly improved activity in PLM. Eight high affinity PSACinhibitors from 5 distinct scaffolds recently identified byhigh-throughput screening were also tested (Pillai et al., Mol.Pharmacol., 77: 724-733 (2010)). Each exhibited significantly improvedpotency when nutrient concentrations are reduced, strengthening theevidence for the channel's role in nutrient acquisition. The extent ofimproved efficacy was variable, but many compounds exhibited a >100-foldimprovement in parasite killing upon nutrient restriction (IC₅₀ ratio,Table 5). Factors such as the stoichiometry of inhibitor:channelinteraction and resultant changes in the concentration dependence ofchannel block, compound stability in culture, and adsorption by serummay influence this ratio.

To explore therapeutic potential, HeLa cell cytotoxicity was examined invitro. Several potent PSAC inhibitors were found to be nontoxic andhighly specific for parasite killing (Table 6).

TABLE 6 specificity (HeLa PSAC Inhibitor HeLa cell CC₅₀, μMCC₅₀/parasite PLM IC₅₀) (24) 30 110 (280)  >100 >430 (31) >100 >240 (3) >100 >530 Cpd 50 >100 >50 ISG-21 86 43,000

Finally, in vitro growth inhibition experiments were performed withchloroquine, mefloquine, and artemisinin, approved antimalarial drugsthat work at unrelated targets within the intracellular parasite. Thesedrugs do not inhibit PSAC-mediated solute uptake. In contrast toimproved killing by PSAC inhibitors, these drugs were modestly lesseffective in PLM than in RPMI (Table 5), excluding nonspecific effectsof modified in vitro growth conditions. Without being bound by aparticular theory or mechanism, it is believed that the robustimprovement in parasite killing for PSAC inhibitors upon nutrientrestriction is in contrast to the effect on existing antimalarial drugsand, therefore, implicates a novel mechanism of action. Because bothisolate-specific and broad spectrum PSAC inhibitors exhibit improvedefficacy in PLM, these studies provide experimental evidence for a roleof PSAC in nutrient uptake by the intracellular parasite.

All references, including publications, patent applications, andpatents, cited herein are hereby incorporated by reference to the sameextent as if each reference were individually and specifically indicatedto be incorporated by reference and were set forth in its entiretyherein.

The use of the terms “a” and “an” and “the” and similar referents in thecontext of describing the invention (especially in the context of thefollowing claims) are to be construed to cover both the singular and theplural, unless otherwise indicated herein or clearly contradicted bycontext. The terms “comprising,” “having,” “including,” and “containing”are to be construed as open-ended terms (i.e., meaning “including, butnot limited to,”) unless otherwise noted. Recitation of ranges of valuesherein are merely intended to serve as a shorthand method of referringindividually to each separate value falling within the range, unlessotherwise indicated herein, and each separate value is incorporated intothe specification as if it were individually recited herein. All methodsdescribed herein can be performed in any suitable order unless otherwiseindicated herein or otherwise clearly contradicted by context. The useof any and all examples, or exemplary language (e.g., “such as”)provided herein, is intended merely to better illuminate the inventionand does not pose a limitation on the scope of the invention unlessotherwise claimed. No language in the specification should be construedas indicating any non-claimed element as essential to the practice ofthe invention.

Preferred embodiments of this invention are described herein, includingthe best mode known to the inventors for carrying out the invention.Variations of those preferred embodiments may become apparent to thoseof ordinary skill in the art upon reading the foregoing description. Theinventors expect skilled artisans to employ such variations asappropriate, and the inventors intend for the invention to be practicedotherwise than as specifically described herein. Accordingly, thisinvention includes all modifications and equivalents of the subjectmatter recited in the claims appended hereto as permitted by applicablelaw. Moreover, any combination of the above-described elements in allpossible variations thereof is encompassed by the invention unlessotherwise indicated herein or otherwise clearly contradicted by context.

The invention claimed is:
 1. A method of treating malaria in an animalcomprising administering an effective amount of a compound of formula(I) to the animal:Q-Y—R¹—R²  (I), wherein: Q is a heterocyclic amido group linked to aheterocyclic group, is optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl, aryl,hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl, alkylamino,dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl; Y is SO₂; R¹ is piperazinyl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro,cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl; R² is aryl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro,cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl; or a pharmaceuticallyacceptable salt thereof.
 2. A method of inhibiting a plasmodial surfaceanion channel of a Plasmodium parasite in an animal comprisingadministering an effective amount of a compound of formula (I) to theanimal:Q-Y—R¹—R²  (I), wherein: Q is a heterocyclic amido group linked to aheterocyclic group, which is optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl, aryl,hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl, alkylamino,dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl; Y is SO₂; R¹ is piperazinyl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro,cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl; R² is aryl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro,cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxy, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl; or a pharmaceuticallyacceptable salt thereof.
 3. The method according to claim 2, wherein R¹is piperazinyl, which is optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl, hydroxyalkyl,haloalkyl, cyanoalkyl, aminoalkyl, alkylamino, dialkylamino,carboxyalkyl, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, ureido, andformyl.
 4. The method according to claim 2, wherein R² is aryl, which isoptionally substituted with one or more substituents selected from thegroup consisting of halo, hydroxy, mercapto, alkoxy, alkylthio, nitro,cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl, aminoalkyl,alkylamino, dialkylamino, carboxyalkyl, alkylcarbonyl, alkoxycarbonyl,aminocarbonyl, ureido, and formyl.
 5. The method according to claim 2,wherein Q is


6. The method according to claim 2, wherein R¹ is:


7. The method according to claim 2, wherein R² is selected from thegroup consisting of:


8. The method according to claim 2, wherein the compound is:


9. The method according to claim 2, further comprising administering atleast one other antimalarial compound to the animal.
 10. The methodaccording to claim 9, wherein the at least one other antimalarialcompound is a compound of formula II:

wherein R¹⁰⁰ is hydrogen or alkyl and R²⁰⁰ is arylalkyl, optionallysubstituted on the aryl with one or more substituents selected from thegroup consisting of halo, hydroxyl, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl; or R²⁰⁰ is a group of formula (III):

wherein n=0 to 6; or R¹⁰⁰ and R²⁰⁰ together with the N to which they areattached form a heterocycle of formula IV:

wherein X is N or CH; and Y₁ is aryl, alkylaryl, dialkylaryl, arylalkyl,alkoxyaryl, or heterocyclic, optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxyl,nitro, cyano, amino, aminoalkyl, alkylamino, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, and formyl; and R³-R¹⁰ are hydrogen oralkyl; or a pharmaceutically acceptable salt thereof.
 11. The methodaccording to claim 2, wherein the animal is a human.
 12. The methodaccording to claim 2, wherein the compound inhibits growth of P.falciparum Dd2.
 13. The method according to claim 1, wherein R¹ ispiperazinyl, which is optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxy,mercapto, alkoxy, alkylthio, nitro, cyano, amino, alkyl, hydroxyalkyl,haloalkyl, cyanoalkyl, aminoalkyl, alkylamino, dialkylamino,carboxyalkyl, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, ureido, andformyl.
 14. The method according to claim 1, wherein R² is aryl, whichis optionally substituted with one or more substituents selected fromthe group consisting of halo, hydroxy, mercapto, alkoxy, alkylthio,nitro, cyano, amino, alkyl, hydroxyalkyl, haloalkyl, cyanoalkyl,aminoalkyl, alkylamino, dialkylamino, carboxyalkyl, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, ureido, and formyl.
 15. The methodaccording to claim 1, wherein Q is


16. The method according to claim 1, wherein R¹ is:


17. The method according to claim 1, wherein R² is selected from thegroup consisting of:


18. The method according to claim 1, wherein the compound is:


19. The method according to claim 1, further comprising administering atleast one other antimalarial compound to the animal.
 20. The methodaccording to claim 19, wherein the at least one other antimalarialcompound is a compound of formula II:

wherein R¹⁰⁰ is hydrogen or alkyl and R²⁰⁰ is arylalkyl, optionallysubstituted on the aryl with one or more substituents selected from thegroup consisting of halo, hydroxyl, nitro, cyano, amino, alkyl,aminoalkyl, alkylamino, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl,and formyl; or R²⁰⁰ is a group of formula (III):

wherein n=0 to 6; or R¹⁰⁰ and R²⁰⁰ together with the N to which they areattached form a heterocycle of formula IV:

wherein X is N or CH; and Y₁ is aryl, alkylaryl, dialkylaryl, arylalkyl,alkoxyaryl, or heterocyclic, optionally substituted with one or moresubstituents selected from the group consisting of halo, hydroxyl,nitro, cyano, amino, aminoalkyl, alkylamino, alkylcarbonyl,alkoxycarbonyl, aminocarbonyl, and formyl; and R³-R¹⁰ are hydrogen oralkyl; or a pharmaceutically acceptable salt thereof.
 21. The methodaccording to claim 1, wherein the animal is a human.
 22. The methodaccording to claim 1, wherein the compound inhibits growth of P.falciparum Dd2.